Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HOOD INFANT LARGE

Facility

$119.25

Hospital Charge Code	270600475
Hospital Revenue Code	270
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$59.62
Rate for Payer: Aetna Commercial	$45.31
Rate for Payer: Aetna Medicare Advantage	$35.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.41
Rate for Payer: Cigna Commercial	$59.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.77
Rate for Payer: Oxford Commercial	$23.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$23.85
Rate for Payer: UnitedHealthcare Community & State	$2.87
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

HOOD SURGICAL DISP

Facility

$0.65

Hospital Charge Code	270650234
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.33
Rate for Payer: Aetna Commercial	$0.25
Rate for Payer: Aetna Medicare Advantage	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.17
Rate for Payer: Cigna Commercial	$0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.20
Rate for Payer: Oxford Commercial	$0.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.10
Rate for Payer: UnitedHealthcare Commercial	$0.13
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.02

HOOD SURGICAL DISP

Facility

$0.65

Hospital Charge Code	270650234
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

HOOD W/HI EFFECIENCY FI 601436

Facility

$104.17

Hospital Charge Code	270601436
Hospital Revenue Code	272
Min. Negotiated Rate	$15.63
Max. Negotiated Rate	$15.63
Rate for Payer: Qualcare PPO/HMO/WC	$15.63

HOOD W/HI EFFECIENCY FI 601436

Facility

$104.17

Hospital Charge Code	270601436
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$52.09
Rate for Payer: Aetna Commercial	$39.58
Rate for Payer: Aetna Medicare Advantage	$31.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.56
Rate for Payer: Cigna Commercial	$52.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.25
Rate for Payer: Oxford Commercial	$20.83
Rate for Payer: Qualcare PPO/HMO/WC	$15.63
Rate for Payer: UnitedHealthcare Commercial	$20.83
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

HOOK 10MM WIDE BLADE

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270691060
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

HOOK 10MM WIDE BLADE

Facility

$3,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270691060
Hospital Revenue Code	278
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$72.30
Rate for Payer: Wellpoint Medicaid Managed Care	$79.50

HOOK 6.5 PEDICLE 5200207

Facility

$3,868.85

Hospital Charge Code	270634069
Hospital Revenue Code	272
Min. Negotiated Rate	$93.24
Max. Negotiated Rate	$1,934.42
Rate for Payer: Aetna Commercial	$1,470.16
Rate for Payer: Aetna Medicare Advantage	$1,160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$986.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$986.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$986.56
Rate for Payer: Cigna Commercial	$1,934.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,160.65
Rate for Payer: Oxford Commercial	$773.77
Rate for Payer: Qualcare PPO/HMO/WC	$580.33
Rate for Payer: UnitedHealthcare Commercial	$773.77
Rate for Payer: UnitedHealthcare Community & State	$93.24
Rate for Payer: Wellpoint Medicaid Managed Care	$102.52

HOOK 6.5 PEDICLE 5200207

Facility

$3,868.85

Hospital Charge Code	270634069
Hospital Revenue Code	272
Min. Negotiated Rate	$580.33
Max. Negotiated Rate	$580.33
Rate for Payer: Qualcare PPO/HMO/WC	$580.33

HOOK 8.0 NARROW 5203113

Facility

$3,248.85

Hospital Charge Code	270634068
Hospital Revenue Code	272
Min. Negotiated Rate	$487.33
Max. Negotiated Rate	$487.33
Rate for Payer: Qualcare PPO/HMO/WC	$487.33

HOOK 8.0 NARROW 5203113

Facility

$3,248.85

Hospital Charge Code	270634068
Hospital Revenue Code	272
Min. Negotiated Rate	$78.30
Max. Negotiated Rate	$1,624.42
Rate for Payer: Aetna Commercial	$1,234.56
Rate for Payer: Aetna Medicare Advantage	$974.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.46
Rate for Payer: Cigna Commercial	$1,624.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$974.65
Rate for Payer: Oxford Commercial	$649.77
Rate for Payer: Qualcare PPO/HMO/WC	$487.33
Rate for Payer: UnitedHealthcare Commercial	$649.77
Rate for Payer: UnitedHealthcare Community & State	$78.30
Rate for Payer: Wellpoint Medicaid Managed Care	$86.09

HOOK BONE 07-10175

Facility

$990.00

Hospital Charge Code	270640890
Hospital Revenue Code	272
Min. Negotiated Rate	$23.86
Max. Negotiated Rate	$495.00
Rate for Payer: Aetna Commercial	$376.20
Rate for Payer: Aetna Medicare Advantage	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.45
Rate for Payer: Cigna Commercial	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.00
Rate for Payer: Oxford Commercial	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.50
Rate for Payer: UnitedHealthcare Commercial	$198.00
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$26.23

HOOK BONE 07-10175

Facility

$990.00

Hospital Charge Code	270640890
Hospital Revenue Code	272
Min. Negotiated Rate	$148.50
Max. Negotiated Rate	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$148.50

HOOK CABLE MINI (J)

Facility

$200.00

Hospital Charge Code	270671695
Hospital Revenue Code	272
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

HOOK CABLE MINI (J)

Facility

$200.00

Hospital Charge Code	270671695
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

HOOK CLOSED 11.0 177082110

Facility

$3,546.45

Hospital Charge Code	270633068
Hospital Revenue Code	272
Min. Negotiated Rate	$531.97
Max. Negotiated Rate	$531.97
Rate for Payer: Qualcare PPO/HMO/WC	$531.97

HOOK CLOSED 11.0 177082110

Facility

$3,546.45

Hospital Charge Code	270633068
Hospital Revenue Code	272
Min. Negotiated Rate	$85.47
Max. Negotiated Rate	$1,773.22
Rate for Payer: Aetna Commercial	$1,347.65
Rate for Payer: Aetna Medicare Advantage	$1,063.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$904.34
Rate for Payer: Cigna Commercial	$1,773.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,063.93
Rate for Payer: Oxford Commercial	$709.29
Rate for Payer: Qualcare PPO/HMO/WC	$531.97
Rate for Payer: UnitedHealthcare Commercial	$709.29
Rate for Payer: UnitedHealthcare Community & State	$85.47
Rate for Payer: Wellpoint Medicaid Managed Care	$93.98

HOOK CLOSED NARW 9.5 177083095

Facility

$3,546.45

Hospital Charge Code	270633067
Hospital Revenue Code	272
Min. Negotiated Rate	$531.97
Max. Negotiated Rate	$531.97
Rate for Payer: Qualcare PPO/HMO/WC	$531.97

HOOK CLOSED NARW 9.5 177083095

Facility

$3,546.45

Hospital Charge Code	270633067
Hospital Revenue Code	272
Min. Negotiated Rate	$85.47
Max. Negotiated Rate	$1,773.22
Rate for Payer: Aetna Commercial	$1,347.65
Rate for Payer: Aetna Medicare Advantage	$1,063.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$904.34
Rate for Payer: Cigna Commercial	$1,773.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,063.93
Rate for Payer: Oxford Commercial	$709.29
Rate for Payer: Qualcare PPO/HMO/WC	$531.97
Rate for Payer: UnitedHealthcare Commercial	$709.29
Rate for Payer: UnitedHealthcare Community & State	$85.47
Rate for Payer: Wellpoint Medicaid Managed Care	$93.98

HOOK DOUBLE JOSEPH

Facility

$149.15

Hospital Charge Code	270697815
Hospital Revenue Code	272
Min. Negotiated Rate	$22.37
Max. Negotiated Rate	$22.37
Rate for Payer: Qualcare PPO/HMO/WC	$22.37

HOOK DOUBLE JOSEPH

Facility

$149.15

Hospital Charge Code	270697815
Hospital Revenue Code	272
Min. Negotiated Rate	$3.59
Max. Negotiated Rate	$74.58
Rate for Payer: Aetna Commercial	$56.68
Rate for Payer: Aetna Medicare Advantage	$44.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.03
Rate for Payer: Cigna Commercial	$74.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.74
Rate for Payer: Oxford Commercial	$29.83
Rate for Payer: Qualcare PPO/HMO/WC	$22.37
Rate for Payer: UnitedHealthcare Commercial	$29.83
Rate for Payer: UnitedHealthcare Community & State	$3.59
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

HOOK L DISP 14-9200

Facility

$204.85

Hospital Charge Code	270609015
Hospital Revenue Code	272
Min. Negotiated Rate	$30.73
Max. Negotiated Rate	$30.73
Rate for Payer: Qualcare PPO/HMO/WC	$30.73

HOOK L DISP 14-9200

Facility

$204.85

Hospital Charge Code	270609015
Hospital Revenue Code	272
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$102.42
Rate for Payer: Aetna Commercial	$77.84
Rate for Payer: Aetna Medicare Advantage	$61.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.24
Rate for Payer: Cigna Commercial	$102.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.45
Rate for Payer: Oxford Commercial	$40.97
Rate for Payer: Qualcare PPO/HMO/WC	$30.73
Rate for Payer: UnitedHealthcare Commercial	$40.97
Rate for Payer: UnitedHealthcare Community & State	$4.94
Rate for Payer: Wellpoint Medicaid Managed Care	$5.43

HOOK MACRO SHAVER AND TUBESET

Facility

$2,775.50

Hospital Charge Code	270692976
Hospital Revenue Code	272
Min. Negotiated Rate	$416.32
Max. Negotiated Rate	$416.32
Rate for Payer: Qualcare PPO/HMO/WC	$416.32

HOOK MACRO SHAVER AND TUBESET

Facility

$2,775.50

Hospital Charge Code	270692976
Hospital Revenue Code	272
Min. Negotiated Rate	$66.89
Max. Negotiated Rate	$1,387.75
Rate for Payer: Aetna Commercial	$1,054.69
Rate for Payer: Aetna Medicare Advantage	$832.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$707.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$707.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$707.75
Rate for Payer: Cigna Commercial	$1,387.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.65
Rate for Payer: Oxford Commercial	$555.10
Rate for Payer: Qualcare PPO/HMO/WC	$416.32
Rate for Payer: UnitedHealthcare Commercial	$555.10
Rate for Payer: UnitedHealthcare Community & State	$66.89
Rate for Payer: Wellpoint Medicaid Managed Care	$73.55

Know your out-of-pocket cost for care.

All Charges