Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HOOK SHARP

Facility

$361.55

Hospital Charge Code	270614769
Hospital Revenue Code	272
Min. Negotiated Rate	$8.71
Max. Negotiated Rate	$180.78
Rate for Payer: Aetna Commercial	$137.39
Rate for Payer: Aetna Medicare Advantage	$108.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.20
Rate for Payer: Cigna Commercial	$180.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.47
Rate for Payer: Oxford Commercial	$72.31
Rate for Payer: Qualcare PPO/HMO/WC	$54.23
Rate for Payer: UnitedHealthcare Commercial	$72.31
Rate for Payer: UnitedHealthcare Community & State	$8.71
Rate for Payer: Wellpoint Medicaid Managed Care	$9.58

HOOK STRY SERF 3.5 278-540-350

Facility

$825.90

Hospital Charge Code	270624776
Hospital Revenue Code	272
Min. Negotiated Rate	$19.90
Max. Negotiated Rate	$412.95
Rate for Payer: Aetna Commercial	$313.84
Rate for Payer: Aetna Medicare Advantage	$247.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.60
Rate for Payer: Cigna Commercial	$412.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.77
Rate for Payer: Oxford Commercial	$165.18
Rate for Payer: Qualcare PPO/HMO/WC	$123.89
Rate for Payer: UnitedHealthcare Commercial	$165.18
Rate for Payer: UnitedHealthcare Community & State	$19.90
Rate for Payer: Wellpoint Medicaid Managed Care	$21.89

HOOK STRY SERF 3.5 278-540-350

Facility

$825.90

Hospital Charge Code	270624776
Hospital Revenue Code	272
Min. Negotiated Rate	$123.89
Max. Negotiated Rate	$123.89
Rate for Payer: Qualcare PPO/HMO/WC	$123.89

HOOK SUTURE MINI

Facility

$700.00

Hospital Charge Code	270691002
Hospital Revenue Code	272
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

HOOK SUTURE MINI

Facility

$700.00

Hospital Charge Code	270691002
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

HOOK WIDE BLADE 12

Facility

$4,000.00

Hospital Charge Code	270659816
Hospital Revenue Code	272
Min. Negotiated Rate	$96.40
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,520.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,200.00
Rate for Payer: Oxford Commercial	$800.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Commercial	$800.00
Rate for Payer: UnitedHealthcare Community & State	$96.40
Rate for Payer: Wellpoint Medicaid Managed Care	$106.00

HOOK WIDE BLADE 12

Facility

$4,000.00

Hospital Charge Code	270659816
Hospital Revenue Code	272
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK WIDE BLADE 6.5

Facility

$4,000.00

Hospital Charge Code	270675213
Hospital Revenue Code	272
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HOOK WIDE BLADE 6.5

Facility

$4,000.00

Hospital Charge Code	270675213
Hospital Revenue Code	272
Min. Negotiated Rate	$96.40
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,520.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,200.00
Rate for Payer: Oxford Commercial	$800.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Commercial	$800.00
Rate for Payer: UnitedHealthcare Community & State	$96.40
Rate for Payer: Wellpoint Medicaid Managed Care	$106.00

HOOK WIDE BLADE EXT 6.5X55MM

Facility

$4,132.50

Service Code	HCPCS C1713
Hospital Charge Code	270695969
Hospital Revenue Code	278
Min. Negotiated Rate	$619.88
Max. Negotiated Rate	$1,000.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$826.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,000.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$909.15
Rate for Payer: Qualcare PPO/HMO/WC	$619.88

HOOK WIDE BLADE EXT 6.5X55MM

Facility

$4,132.50

Service Code	HCPCS C1713
Hospital Charge Code	270695969
Hospital Revenue Code	278
Min. Negotiated Rate	$99.59
Max. Negotiated Rate	$2,066.25
Rate for Payer: Aetna Commercial	$1,570.35
Rate for Payer: Aetna Medicare Advantage	$1,239.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,053.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,053.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$826.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,053.79
Rate for Payer: Cigna Commercial	$2,066.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,000.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$909.15
Rate for Payer: Qualcare PPO/HMO/WC	$619.88
Rate for Payer: UnitedHealthcare Community & State	$99.59
Rate for Payer: Wellpoint Medicaid Managed Care	$109.51

HOOP SHIMS

Facility

$5,250.00

Hospital Charge Code	270657300
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

HOOP SHIMS

Facility

$5,515.00

Hospital Charge Code	270657303
Hospital Revenue Code	270
Min. Negotiated Rate	$827.25
Max. Negotiated Rate	$827.25
Rate for Payer: Qualcare PPO/HMO/WC	$827.25

HOOP SHIMS

Facility

$5,515.00

Hospital Charge Code	270657303
Hospital Revenue Code	270
Min. Negotiated Rate	$132.91
Max. Negotiated Rate	$2,757.50
Rate for Payer: Aetna Commercial	$2,095.70
Rate for Payer: Aetna Medicare Advantage	$1,654.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,406.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,406.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,406.33
Rate for Payer: Cigna Commercial	$2,757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,654.50
Rate for Payer: Oxford Commercial	$1,103.00
Rate for Payer: Qualcare PPO/HMO/WC	$827.25
Rate for Payer: UnitedHealthcare Commercial	$1,103.00
Rate for Payer: UnitedHealthcare Community & State	$132.91
Rate for Payer: Wellpoint Medicaid Managed Care	$146.15

HOOP SHIMS

Facility

$5,250.00

Hospital Charge Code	270657300
Hospital Revenue Code	278
Min. Negotiated Rate	$126.53
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$126.53
Rate for Payer: Wellpoint Medicaid Managed Care	$139.12

HOSE NIBP

Facility

$202.55

Hospital Charge Code	270665800
Hospital Revenue Code	270
Min. Negotiated Rate	$30.38
Max. Negotiated Rate	$30.38
Rate for Payer: Qualcare PPO/HMO/WC	$30.38

HOSE NIBP

Facility

$202.55

Hospital Charge Code	270665800
Hospital Revenue Code	270
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$101.28
Rate for Payer: Aetna Commercial	$76.97
Rate for Payer: Aetna Medicare Advantage	$60.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.65
Rate for Payer: Cigna Commercial	$101.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.77
Rate for Payer: Oxford Commercial	$40.51
Rate for Payer: Qualcare PPO/HMO/WC	$30.38
Rate for Payer: UnitedHealthcare Commercial	$40.51
Rate for Payer: UnitedHealthcare Community & State	$4.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5.37

HOSE VAC 7/8X10 WAND VTWT624

Facility

$42.50

Hospital Charge Code	270638323
Hospital Revenue Code	272
Min. Negotiated Rate	$6.38
Max. Negotiated Rate	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$6.38

HOSE VAC 7/8X10 WAND VTWT624

Facility

$42.50

Hospital Charge Code	270638323
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$21.25
Rate for Payer: Aetna Commercial	$16.15
Rate for Payer: Aetna Medicare Advantage	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.84
Rate for Payer: Cigna Commercial	$21.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.75
Rate for Payer: Oxford Commercial	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.38
Rate for Payer: UnitedHealthcare Commercial	$8.50
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$1.13

HOSPICE ROOM AND BOARD PRIVATE

Facility

$18,000.00

Hospital Charge Code	93920001
Hospital Revenue Code	110
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

HOSPICE ROOM AND BOARD SEMIPRI

Facility

$18,000.00

Service Code	HCPCS Q5005
Hospital Charge Code	93920005
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

HOT AND COLD PACKS

Facility

$93.71

Service Code	HCPCS 97010
Hospital Charge Code	409297010
Hospital Revenue Code	420
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$14.06
Rate for Payer: Qualcare PPO/HMO/WC	$14.06

HOT AND COLD PACKS

Facility

$93.71

Service Code	HCPCS 97010
Hospital Charge Code	409297010
Hospital Revenue Code	420
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$35.61
Rate for Payer: Aetna Medicare Advantage	$28.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.90
Rate for Payer: Cigna Commercial	$46.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.11
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.06
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$2.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

HOT TEMP

Facility

$81.00

Hospital Charge Code	270335110
Hospital Revenue Code	272
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

HOT TEMP

Facility

$81.00

Hospital Charge Code	270335110
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

Know your out-of-pocket cost for care.

All Charges