Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HAND AND WRIST PROCEDURES

Facility

$13,734.82

Service Code	APR-DRG 3162
Min. Negotiated Rate	$13,465.51
Max. Negotiated Rate	$13,734.82
Rate for Payer: UnitedHealthcare Community & State	$13,465.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,734.82
Rate for Payer: Wellpoint Medicaid Managed Care	$13,465.51

HAND AND WRIST PROCEDURES

Facility

$21,120.63

Service Code	APR-DRG 3163
Min. Negotiated Rate	$20,706.50
Max. Negotiated Rate	$21,120.63
Rate for Payer: UnitedHealthcare Community & State	$20,706.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,120.63
Rate for Payer: Wellpoint Medicaid Managed Care	$20,706.50

HAND AND WRIST PROCEDURES

Facility

$10,292.82

Service Code	APR-DRG 3161
Min. Negotiated Rate	$10,091.00
Max. Negotiated Rate	$10,292.82
Rate for Payer: UnitedHealthcare Community & State	$10,091.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,292.82
Rate for Payer: Wellpoint Medicaid Managed Care	$10,091.00

HAND AND WRIST PROCEDURES

Facility

$39,037.91

Service Code	APR-DRG 3164
Min. Negotiated Rate	$38,272.46
Max. Negotiated Rate	$39,037.91
Rate for Payer: UnitedHealthcare Community & State	$38,272.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$39,037.91
Rate for Payer: Wellpoint Medicaid Managed Care	$38,272.46

HAND CONTROL

Facility

$508.80

Hospital Charge Code	270683670
Hospital Revenue Code	270
Min. Negotiated Rate	$12.26
Max. Negotiated Rate	$254.40
Rate for Payer: Aetna Commercial	$193.34
Rate for Payer: Aetna Medicare Advantage	$152.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.74
Rate for Payer: Cigna Commercial	$254.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.64
Rate for Payer: Oxford Commercial	$101.76
Rate for Payer: Qualcare PPO/HMO/WC	$76.32
Rate for Payer: UnitedHealthcare Commercial	$101.76
Rate for Payer: UnitedHealthcare Community & State	$12.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.48

HAND CONTROL

Facility

$508.80

Hospital Charge Code	270683670
Hospital Revenue Code	270
Min. Negotiated Rate	$76.32
Max. Negotiated Rate	$76.32
Rate for Payer: Qualcare PPO/HMO/WC	$76.32

HAND CREAM 180G

Facility

$52.50

Hospital Charge Code	6009633
Hospital Revenue Code	250
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$26.25
Rate for Payer: Aetna Commercial	$19.95
Rate for Payer: Aetna Medicare Advantage	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.39
Rate for Payer: Cigna Commercial	$26.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.75
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.88
Rate for Payer: UnitedHealthcare Commercial	$10.50
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.39

HAND CREAM 180G

Facility

$52.50

Hospital Charge Code	6009633
Hospital Revenue Code	250
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$7.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.88

HANDLE

Facility

$1,575.00

Hospital Charge Code	270656681
Hospital Revenue Code	272
Min. Negotiated Rate	$37.96
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$598.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$472.50
Rate for Payer: Oxford Commercial	$315.00
Rate for Payer: Qualcare PPO/HMO/WC	$236.25
Rate for Payer: UnitedHealthcare Commercial	$315.00
Rate for Payer: UnitedHealthcare Community & State	$37.96
Rate for Payer: Wellpoint Medicaid Managed Care	$41.74

HANDLE

Facility

$1,575.00

Hospital Charge Code	270656681
Hospital Revenue Code	272
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$236.25
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

HANDLE ENDO GIA 4 STANDARD STR

Facility

$1,188.68

Hospital Charge Code	270652109
Hospital Revenue Code	272
Min. Negotiated Rate	$178.30
Max. Negotiated Rate	$178.30
Rate for Payer: Qualcare PPO/HMO/WC	$178.30

HANDLE ENDO GIA 4 STANDARD STR

Facility

$1,188.68

Hospital Charge Code	270652109
Hospital Revenue Code	272
Min. Negotiated Rate	$28.65
Max. Negotiated Rate	$594.34
Rate for Payer: Aetna Commercial	$451.70
Rate for Payer: Aetna Medicare Advantage	$356.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.11
Rate for Payer: Cigna Commercial	$594.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.60
Rate for Payer: Oxford Commercial	$237.74
Rate for Payer: Qualcare PPO/HMO/WC	$178.30
Rate for Payer: UnitedHealthcare Commercial	$237.74
Rate for Payer: UnitedHealthcare Community & State	$28.65
Rate for Payer: Wellpoint Medicaid Managed Care	$31.50

HANDLE FLIPCUTTER

Facility

$2,625.00

Hospital Charge Code	270679853
Hospital Revenue Code	272
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$787.50
Rate for Payer: Oxford Commercial	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Commercial	$525.00
Rate for Payer: UnitedHealthcare Community & State	$63.26
Rate for Payer: Wellpoint Medicaid Managed Care	$69.56

HANDLE FLIPCUTTER

Facility

$2,625.00

Hospital Charge Code	270679853
Hospital Revenue Code	272
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$393.75
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

HANDLE JEWELERS KNOB AO

Facility

$1,750.00

Hospital Charge Code	270690429
Hospital Revenue Code	270
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

HANDLE JEWELERS KNOB AO

Facility

$1,750.00

Hospital Charge Code	270690429
Hospital Revenue Code	270
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

HANDLE LED FIBER OPTIC PENLIGH

Facility

$445.00

Hospital Charge Code	270683069
Hospital Revenue Code	272
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$222.50
Rate for Payer: Aetna Commercial	$169.10
Rate for Payer: Aetna Medicare Advantage	$133.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.47
Rate for Payer: Cigna Commercial	$222.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.50
Rate for Payer: Oxford Commercial	$89.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.75
Rate for Payer: UnitedHealthcare Commercial	$89.00
Rate for Payer: UnitedHealthcare Community & State	$10.72
Rate for Payer: Wellpoint Medicaid Managed Care	$11.79

HANDLE LED FIBER OPTIC PENLIGH

Facility

$445.00

Hospital Charge Code	270683069
Hospital Revenue Code	272
Min. Negotiated Rate	$66.75
Max. Negotiated Rate	$66.75
Rate for Payer: Qualcare PPO/HMO/WC	$66.75

HANDLE LIGASURE MARYLAND 44 CM

Facility

$2,931.60

Hospital Charge Code	270691741
Hospital Revenue Code	272
Min. Negotiated Rate	$70.65
Max. Negotiated Rate	$1,465.80
Rate for Payer: Aetna Commercial	$1,114.01
Rate for Payer: Aetna Medicare Advantage	$879.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$747.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$747.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$747.56
Rate for Payer: Cigna Commercial	$1,465.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$879.48
Rate for Payer: Oxford Commercial	$586.32
Rate for Payer: Qualcare PPO/HMO/WC	$439.74
Rate for Payer: UnitedHealthcare Commercial	$586.32
Rate for Payer: UnitedHealthcare Community & State	$70.65
Rate for Payer: Wellpoint Medicaid Managed Care	$77.69

HANDLE LIGASURE MARYLAND 44 CM

Facility

$2,931.60

Hospital Charge Code	270691741
Hospital Revenue Code	272
Min. Negotiated Rate	$439.74
Max. Negotiated Rate	$439.74
Rate for Payer: Qualcare PPO/HMO/WC	$439.74

HANDLE LIGHT DISP DEVON

Facility

$9.65

Hospital Charge Code	270608052
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

HANDLE LIGHT DISP DEVON

Facility

$9.65

Hospital Charge Code	270608052
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

HANDLE LONG SCALPEL

Facility

$6,665.55

Hospital Charge Code	270691503
Hospital Revenue Code	272
Min. Negotiated Rate	$999.83
Max. Negotiated Rate	$999.83
Rate for Payer: Qualcare PPO/HMO/WC	$999.83

HANDLE LONG SCALPEL

Facility

$6,665.55

Hospital Charge Code	270691503
Hospital Revenue Code	272
Min. Negotiated Rate	$160.64
Max. Negotiated Rate	$3,332.78
Rate for Payer: Aetna Commercial	$2,532.91
Rate for Payer: Aetna Medicare Advantage	$1,999.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,699.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,699.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,699.72
Rate for Payer: Cigna Commercial	$3,332.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,999.66
Rate for Payer: Oxford Commercial	$1,333.11
Rate for Payer: Qualcare PPO/HMO/WC	$999.83
Rate for Payer: UnitedHealthcare Commercial	$1,333.11
Rate for Payer: UnitedHealthcare Community & State	$160.64
Rate for Payer: Wellpoint Medicaid Managed Care	$176.64

HANDLE MDT DEPLOY STENT YR5100

Facility

$5,111.25

Hospital Charge Code	270623302
Hospital Revenue Code	272
Min. Negotiated Rate	$766.69
Max. Negotiated Rate	$766.69
Rate for Payer: Qualcare PPO/HMO/WC	$766.69

Know your out-of-pocket cost for care.

All Charges