Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE ACCU-CUT YOUNGSWICK 1mm

Facility

$375.00

Hospital Charge Code	270643492
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

GUIDE ACL 7MM

Facility

$4,175.00

Hospital Charge Code	270676467
Hospital Revenue Code	272
Min. Negotiated Rate	$626.25
Max. Negotiated Rate	$626.25
Rate for Payer: Qualcare PPO/HMO/WC	$626.25

GUIDE ACL 7MM

Facility

$4,175.00

Hospital Charge Code	270676467
Hospital Revenue Code	272
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$2,087.50
Rate for Payer: Aetna Commercial	$1,586.50
Rate for Payer: Aetna Medicare Advantage	$1,252.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,064.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,064.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,064.62
Rate for Payer: Cigna Commercial	$2,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,252.50
Rate for Payer: Oxford Commercial	$835.00
Rate for Payer: Qualcare PPO/HMO/WC	$626.25
Rate for Payer: UnitedHealthcare Commercial	$835.00
Rate for Payer: UnitedHealthcare Community & State	$100.62
Rate for Payer: Wellpoint Medicaid Managed Care	$110.64

GUIDE A.I.M ING 1.5MM

Facility

$180.00

Hospital Charge Code	270661782
Hospital Revenue Code	272
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.00
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

GUIDE A.I.M ING 1.5MM

Facility

$180.00

Hospital Charge Code	270661782
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$362.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334C
Hospital Revenue Code	278
Min. Negotiated Rate	$54.41
Max. Negotiated Rate	$87.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$79.81
Rate for Payer: Qualcare PPO/HMO/WC	$54.41

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$358.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334N
Hospital Revenue Code	278
Min. Negotiated Rate	$53.81
Max. Negotiated Rate	$86.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.92
Rate for Payer: Qualcare PPO/HMO/WC	$53.81

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$358.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334N
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$179.38
Rate for Payer: Aetna Commercial	$136.32
Rate for Payer: Aetna Medicare Advantage	$107.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.48
Rate for Payer: Cigna Commercial	$179.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.92
Rate for Payer: Qualcare PPO/HMO/WC	$53.81
Rate for Payer: UnitedHealthcare Community & State	$8.65
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

GUIDE.ATW.FLOP 195CM 595MEJ014

Facility

$362.75

Service Code	HCPCS C1769
Hospital Charge Code	270637334C
Hospital Revenue Code	278
Min. Negotiated Rate	$8.74
Max. Negotiated Rate	$181.38
Rate for Payer: Aetna Commercial	$137.84
Rate for Payer: Aetna Medicare Advantage	$108.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.50
Rate for Payer: Cigna Commercial	$181.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$79.81
Rate for Payer: Qualcare PPO/HMO/WC	$54.41
Rate for Payer: UnitedHealthcare Community & State	$8.74
Rate for Payer: Wellpoint Medicaid Managed Care	$9.61

GUIDE.ATW.FLOP J195CM 595EJ014

Facility

$370.00

Hospital Charge Code	270636288
Hospital Revenue Code	278
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

GUIDE.ATW.FLOP J195CM 595EJ014

Facility

$370.00

Hospital Charge Code	270636288
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

GUIDE.ATW.FLOP J300CM 595EY014

Facility

$370.00

Hospital Charge Code	270636289
Hospital Revenue Code	278
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

GUIDE.ATW.FLOP J300CM 595EY014

Facility

$370.00

Hospital Charge Code	270636289
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

GUIDE.ATWFLOPSTR195CM 595ME014

Facility

$370.00

Hospital Charge Code	270636290
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

GUIDE.ATWFLOPSTR195CM 595ME014

Facility

$370.00

Hospital Charge Code	270636290
Hospital Revenue Code	278
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

GUIDE BIOPSY BIPLANE FOR 8818

Facility

$80.56

Hospital Charge Code	270665893
Hospital Revenue Code	270
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$12.08
Rate for Payer: Qualcare PPO/HMO/WC	$12.08

GUIDE BIOPSY BIPLANE FOR 8818

Facility

$80.56

Hospital Charge Code	270665893
Hospital Revenue Code	270
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$40.28
Rate for Payer: Aetna Commercial	$30.61
Rate for Payer: Aetna Medicare Advantage	$24.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.54
Rate for Payer: Cigna Commercial	$40.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.17
Rate for Payer: Oxford Commercial	$16.11
Rate for Payer: Qualcare PPO/HMO/WC	$12.08
Rate for Payer: UnitedHealthcare Commercial	$16.11
Rate for Payer: UnitedHealthcare Community & State	$1.94
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

GUIDE BIOPSY ENDFIRE FOR 8818

Facility

$80.56

Hospital Charge Code	270665892
Hospital Revenue Code	270
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$12.08
Rate for Payer: Qualcare PPO/HMO/WC	$12.08

GUIDE BIOPSY ENDFIRE FOR 8818

Facility

$80.56

Hospital Charge Code	270665892
Hospital Revenue Code	270
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$40.28
Rate for Payer: Aetna Commercial	$30.61
Rate for Payer: Aetna Medicare Advantage	$24.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.54
Rate for Payer: Cigna Commercial	$40.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.17
Rate for Payer: Oxford Commercial	$16.11
Rate for Payer: Qualcare PPO/HMO/WC	$12.08
Rate for Payer: UnitedHealthcare Commercial	$16.11
Rate for Payer: UnitedHealthcare Community & State	$1.94
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

GUIDE BMT NAIL DRIV 3.2 467210

Facility

$463.25

Hospital Charge Code	270606455
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

GUIDE BMT NAIL DRIV 3.2 467210

Facility

$463.25

Hospital Charge Code	270606455
Hospital Revenue Code	272
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$176.03
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.97
Rate for Payer: Oxford Commercial	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$92.65
Rate for Payer: UnitedHealthcare Community & State	$11.16
Rate for Payer: Wellpoint Medicaid Managed Care	$12.28

GUIDE BMT NAIL DRIV 4.4 467220

Facility

$737.65

Hospital Charge Code	270614899
Hospital Revenue Code	272
Min. Negotiated Rate	$17.78
Max. Negotiated Rate	$368.82
Rate for Payer: Aetna Commercial	$280.31
Rate for Payer: Aetna Medicare Advantage	$221.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.10
Rate for Payer: Cigna Commercial	$368.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.29
Rate for Payer: Oxford Commercial	$147.53
Rate for Payer: Qualcare PPO/HMO/WC	$110.65
Rate for Payer: UnitedHealthcare Commercial	$147.53
Rate for Payer: UnitedHealthcare Community & State	$17.78
Rate for Payer: Wellpoint Medicaid Managed Care	$19.55

GUIDE BMT NAIL DRIV 4.4 467220

Facility

$737.65

Hospital Charge Code	270614899
Hospital Revenue Code	272
Min. Negotiated Rate	$110.65
Max. Negotiated Rate	$110.65
Rate for Payer: Qualcare PPO/HMO/WC	$110.65

GUIDE BMT NAIL DRIV 467216

Facility

$463.25

Hospital Charge Code	270607864
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

GUIDE BMT NAIL DRIV 467216

Facility

$463.25

Hospital Charge Code	270607864
Hospital Revenue Code	272
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$176.03
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.97
Rate for Payer: Oxford Commercial	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$92.65
Rate for Payer: UnitedHealthcare Community & State	$11.16
Rate for Payer: Wellpoint Medicaid Managed Care	$12.28

Know your out-of-pocket cost for care.

All Charges