Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

FORCEPS RADIAL JAW 160cm

Facility

$87.50

Hospital Charge Code	270650907
Hospital Revenue Code	272
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$43.75
Rate for Payer: Aetna Commercial	$33.25
Rate for Payer: Aetna Medicare Advantage	$26.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.31
Rate for Payer: Cigna Commercial	$43.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.25
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.12
Rate for Payer: UnitedHealthcare Commercial	$17.50
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.32

FORCEPS RADIAL JAW 3 240cm

Facility

$125.00

Hospital Charge Code	270650908
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

FORCEPS RADIAL JAW 3 240cm

Facility

$125.00

Hospital Charge Code	270650908
Hospital Revenue Code	272
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

FORCEPS REDUCTION 130MM

Facility

$852.00

Hospital Charge Code	270668378
Hospital Revenue Code	272
Min. Negotiated Rate	$127.80
Max. Negotiated Rate	$127.80
Rate for Payer: Qualcare PPO/HMO/WC	$127.80

FORCEPS REDUCTION 130MM

Facility

$852.00

Hospital Charge Code	270668378
Hospital Revenue Code	272
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$426.00
Rate for Payer: Aetna Commercial	$323.76
Rate for Payer: Aetna Medicare Advantage	$255.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.26
Rate for Payer: Cigna Commercial	$426.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.60
Rate for Payer: Oxford Commercial	$170.40
Rate for Payer: Qualcare PPO/HMO/WC	$127.80
Rate for Payer: UnitedHealthcare Commercial	$170.40
Rate for Payer: UnitedHealthcare Community & State	$20.53
Rate for Payer: Wellpoint Medicaid Managed Care	$22.58

FORCEPS REDUCTION LARGE

Facility

$13,253.00

Hospital Charge Code	270649819
Hospital Revenue Code	272
Min. Negotiated Rate	$1,987.95
Max. Negotiated Rate	$1,987.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.95

FORCEPS REDUCTION LARGE

Facility

$13,253.00

Hospital Charge Code	270649819
Hospital Revenue Code	272
Min. Negotiated Rate	$319.40
Max. Negotiated Rate	$6,626.50
Rate for Payer: Aetna Commercial	$5,036.14
Rate for Payer: Aetna Medicare Advantage	$3,975.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,379.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,379.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,379.51
Rate for Payer: Cigna Commercial	$6,626.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,975.90
Rate for Payer: Oxford Commercial	$2,650.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.95
Rate for Payer: UnitedHealthcare Commercial	$2,650.60
Rate for Payer: UnitedHealthcare Community & State	$319.40
Rate for Payer: Wellpoint Medicaid Managed Care	$351.20

FORCEPS REDUCT W/POINTS BROAD

Facility

$1,820.00

Hospital Charge Code	270614780
Hospital Revenue Code	272
Min. Negotiated Rate	$273.00
Max. Negotiated Rate	$273.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.00

FORCEPS REDUCT W/POINTS BROAD

Facility

$1,820.00

Hospital Charge Code	270614780
Hospital Revenue Code	272
Min. Negotiated Rate	$43.86
Max. Negotiated Rate	$910.00
Rate for Payer: Aetna Commercial	$691.60
Rate for Payer: Aetna Medicare Advantage	$546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$464.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$464.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$464.10
Rate for Payer: Cigna Commercial	$910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.00
Rate for Payer: Oxford Commercial	$364.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.00
Rate for Payer: UnitedHealthcare Commercial	$364.00
Rate for Payer: UnitedHealthcare Community & State	$43.86
Rate for Payer: Wellpoint Medicaid Managed Care	$48.23

FORCEPS REDUCT W/POINTS NARROW

Facility

$1,874.60

Hospital Charge Code	270607305
Hospital Revenue Code	272
Min. Negotiated Rate	$45.18
Max. Negotiated Rate	$937.30
Rate for Payer: Aetna Commercial	$712.35
Rate for Payer: Aetna Medicare Advantage	$562.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.02
Rate for Payer: Cigna Commercial	$937.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.38
Rate for Payer: Oxford Commercial	$374.92
Rate for Payer: Qualcare PPO/HMO/WC	$281.19
Rate for Payer: UnitedHealthcare Commercial	$374.92
Rate for Payer: UnitedHealthcare Community & State	$45.18
Rate for Payer: Wellpoint Medicaid Managed Care	$49.68

FORCEPS REDUCT W/POINTS NARROW

Facility

$1,874.60

Hospital Charge Code	270607305
Hospital Revenue Code	272
Min. Negotiated Rate	$281.19
Max. Negotiated Rate	$281.19
Rate for Payer: Qualcare PPO/HMO/WC	$281.19

FORCEPS SATIN HALSTEAD 5 CVD

Facility

$39.75

Hospital Charge Code	270657884
Hospital Revenue Code	270
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$19.88
Rate for Payer: Aetna Commercial	$15.11
Rate for Payer: Aetna Medicare Advantage	$11.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.14
Rate for Payer: Cigna Commercial	$19.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.93
Rate for Payer: Oxford Commercial	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.96
Rate for Payer: UnitedHealthcare Commercial	$7.95
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

FORCEPS SATIN HALSTEAD 5 CVD

Facility

$39.75

Hospital Charge Code	270657884
Hospital Revenue Code	270
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$5.96
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

FORCEPS SCREW

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270614770
Hospital Revenue Code	278
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$7.29

FORCEPS SCREW

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270614770
Hospital Revenue Code	278
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$66.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

FORCEP STD RADIAL JAW 240CC

Facility

$77.04

Hospital Charge Code	270655593
Hospital Revenue Code	272
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$38.52
Rate for Payer: Aetna Commercial	$29.28
Rate for Payer: Aetna Medicare Advantage	$23.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.65
Rate for Payer: Cigna Commercial	$38.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.11
Rate for Payer: Oxford Commercial	$15.41
Rate for Payer: Qualcare PPO/HMO/WC	$11.56
Rate for Payer: UnitedHealthcare Commercial	$15.41
Rate for Payer: UnitedHealthcare Community & State	$1.86
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

FORCEP STD RADIAL JAW 240CC

Facility

$77.04

Hospital Charge Code	270655593
Hospital Revenue Code	272
Min. Negotiated Rate	$11.56
Max. Negotiated Rate	$11.56
Rate for Payer: Qualcare PPO/HMO/WC	$11.56

FORCEP STONE RETRIEV 2.4FR

Facility

$1,586.45

Hospital Charge Code	270601109
Hospital Revenue Code	272
Min. Negotiated Rate	$237.97
Max. Negotiated Rate	$237.97
Rate for Payer: Qualcare PPO/HMO/WC	$237.97

FORCEP STONE RETRIEV 2.4FR

Facility

$1,586.45

Hospital Charge Code	270601109
Hospital Revenue Code	272
Min. Negotiated Rate	$38.23
Max. Negotiated Rate	$793.23
Rate for Payer: Aetna Commercial	$602.85
Rate for Payer: Aetna Medicare Advantage	$475.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.54
Rate for Payer: Cigna Commercial	$793.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$475.94
Rate for Payer: Oxford Commercial	$317.29
Rate for Payer: Qualcare PPO/HMO/WC	$237.97
Rate for Payer: UnitedHealthcare Commercial	$317.29
Rate for Payer: UnitedHealthcare Community & State	$38.23
Rate for Payer: Wellpoint Medicaid Managed Care	$42.04

FORCEPS WC BIOPSY HOT HDS25230

Facility

$173.65

Hospital Charge Code	270623501
Hospital Revenue Code	272
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$86.83
Rate for Payer: Aetna Commercial	$65.99
Rate for Payer: Aetna Medicare Advantage	$52.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.28
Rate for Payer: Cigna Commercial	$86.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.09
Rate for Payer: Oxford Commercial	$34.73
Rate for Payer: Qualcare PPO/HMO/WC	$26.05
Rate for Payer: UnitedHealthcare Commercial	$34.73
Rate for Payer: UnitedHealthcare Community & State	$4.18
Rate for Payer: Wellpoint Medicaid Managed Care	$4.60

FORCEPS WC BIOPSY HOT HDS25230

Facility

$173.65

Hospital Charge Code	270623501
Hospital Revenue Code	272
Min. Negotiated Rate	$26.05
Max. Negotiated Rate	$26.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.05

FORCEPS WC BIOPSY SDF25230

Facility

$99.25

Hospital Charge Code	270623500
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

FORCEPS WC BIOPSY SDF25230

Facility

$99.25

Hospital Charge Code	270623500
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.77
Rate for Payer: Oxford Commercial	$19.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$19.85
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

FORCEPTS UROLOGICAL CUP BIOPSY

Facility

$5,695.00

Hospital Charge Code	270658542
Hospital Revenue Code	272
Min. Negotiated Rate	$854.25
Max. Negotiated Rate	$854.25
Rate for Payer: Qualcare PPO/HMO/WC	$854.25

FORCEPTS UROLOGICAL CUP BIOPSY

Facility

$5,695.00

Hospital Charge Code	270658542
Hospital Revenue Code	272
Min. Negotiated Rate	$137.25
Max. Negotiated Rate	$2,847.50
Rate for Payer: Aetna Commercial	$2,164.10
Rate for Payer: Aetna Medicare Advantage	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,452.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,452.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,452.22
Rate for Payer: Cigna Commercial	$2,847.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,708.50
Rate for Payer: Oxford Commercial	$1,139.00
Rate for Payer: Qualcare PPO/HMO/WC	$854.25
Rate for Payer: UnitedHealthcare Commercial	$1,139.00
Rate for Payer: UnitedHealthcare Community & State	$137.25
Rate for Payer: Wellpoint Medicaid Managed Care	$150.92

Know your out-of-pocket cost for care.

All Charges