Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LIGASURE ATLAS 37CM HANDSWITCH

Facility

$1,881.15

Hospital Charge Code	270684272
Hospital Revenue Code	272
Min. Negotiated Rate	$282.17
Max. Negotiated Rate	$282.17
Rate for Payer: Qualcare PPO/HMO/WC	$282.17

LIGASURE ATLAS 37CM HANDSWITCH

Facility

$1,881.15

Hospital Charge Code	270684272
Hospital Revenue Code	272
Min. Negotiated Rate	$45.34
Max. Negotiated Rate	$940.58
Rate for Payer: Aetna Commercial	$714.84
Rate for Payer: Aetna Medicare Advantage	$564.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.69
Rate for Payer: Cigna Commercial	$940.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$564.35
Rate for Payer: Oxford Commercial	$376.23
Rate for Payer: Qualcare PPO/HMO/WC	$282.17
Rate for Payer: UnitedHealthcare Commercial	$376.23
Rate for Payer: UnitedHealthcare Community & State	$45.34
Rate for Payer: Wellpoint Medicaid Managed Care	$49.85

LIGASURE BLUNT TIP 23CM

Facility

$2,496.00

Hospital Charge Code	270698020
Hospital Revenue Code	272
Min. Negotiated Rate	$60.15
Max. Negotiated Rate	$1,248.00
Rate for Payer: Aetna Commercial	$948.48
Rate for Payer: Aetna Medicare Advantage	$748.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.48
Rate for Payer: Cigna Commercial	$1,248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.80
Rate for Payer: Oxford Commercial	$499.20
Rate for Payer: Qualcare PPO/HMO/WC	$374.40
Rate for Payer: UnitedHealthcare Commercial	$499.20
Rate for Payer: UnitedHealthcare Community & State	$60.15
Rate for Payer: Wellpoint Medicaid Managed Care	$66.14

LIGASURE BLUNT TIP 23CM

Facility

$2,496.00

Hospital Charge Code	270698020
Hospital Revenue Code	272
Min. Negotiated Rate	$374.40
Max. Negotiated Rate	$374.40
Rate for Payer: Qualcare PPO/HMO/WC	$374.40

LIGASURE CUR SM JAW SEALER

Facility

$2,314.89

Hospital Charge Code	270675533
Hospital Revenue Code	272
Min. Negotiated Rate	$55.79
Max. Negotiated Rate	$1,157.44
Rate for Payer: Aetna Commercial	$879.66
Rate for Payer: Aetna Medicare Advantage	$694.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$590.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$590.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$590.30
Rate for Payer: Cigna Commercial	$1,157.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$694.47
Rate for Payer: Oxford Commercial	$462.98
Rate for Payer: Qualcare PPO/HMO/WC	$347.23
Rate for Payer: UnitedHealthcare Commercial	$462.98
Rate for Payer: UnitedHealthcare Community & State	$55.79
Rate for Payer: Wellpoint Medicaid Managed Care	$61.34

LIGASURE CUR SM JAW SEALER

Facility

$2,314.89

Hospital Charge Code	270675533
Hospital Revenue Code	272
Min. Negotiated Rate	$347.23
Max. Negotiated Rate	$347.23
Rate for Payer: Qualcare PPO/HMO/WC	$347.23

LIGASURE EXACT

Facility

$3,025.00

Hospital Charge Code	270689841
Hospital Revenue Code	272
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

LIGASURE EXACT

Facility

$3,025.00

Hospital Charge Code	270689841
Hospital Revenue Code	272
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$1,149.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Oxford Commercial	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$453.75
Rate for Payer: UnitedHealthcare Commercial	$605.00
Rate for Payer: UnitedHealthcare Community & State	$72.90
Rate for Payer: Wellpoint Medicaid Managed Care	$80.16

LIGASURE IMPACT OPEN DEVICE

Facility

$2,467.50

Hospital Charge Code	270643235
Hospital Revenue Code	272
Min. Negotiated Rate	$370.12
Max. Negotiated Rate	$370.12
Rate for Payer: Qualcare PPO/HMO/WC	$370.12

LIGASURE IMPACT OPEN DEVICE

Facility

$2,467.50

Hospital Charge Code	270643235
Hospital Revenue Code	272
Min. Negotiated Rate	$59.47
Max. Negotiated Rate	$1,233.75
Rate for Payer: Aetna Commercial	$937.65
Rate for Payer: Aetna Medicare Advantage	$740.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$629.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$629.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$629.21
Rate for Payer: Cigna Commercial	$1,233.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.25
Rate for Payer: Oxford Commercial	$493.50
Rate for Payer: Qualcare PPO/HMO/WC	$370.12
Rate for Payer: UnitedHealthcare Commercial	$493.50
Rate for Payer: UnitedHealthcare Community & State	$59.47
Rate for Payer: Wellpoint Medicaid Managed Care	$65.39

LIGASURE MARYLAND JAW 5MM

Facility

$2,829.75

Hospital Charge Code	270685434
Hospital Revenue Code	272
Min. Negotiated Rate	$68.20
Max. Negotiated Rate	$1,414.88
Rate for Payer: Aetna Commercial	$1,075.31
Rate for Payer: Aetna Medicare Advantage	$848.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$721.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$721.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$721.59
Rate for Payer: Cigna Commercial	$1,414.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$848.92
Rate for Payer: Oxford Commercial	$565.95
Rate for Payer: Qualcare PPO/HMO/WC	$424.46
Rate for Payer: UnitedHealthcare Commercial	$565.95
Rate for Payer: UnitedHealthcare Community & State	$68.20
Rate for Payer: Wellpoint Medicaid Managed Care	$74.99

LIGASURE MARYLAND JAW 5MM

Facility

$2,829.75

Hospital Charge Code	270685434
Hospital Revenue Code	272
Min. Negotiated Rate	$424.46
Max. Negotiated Rate	$424.46
Rate for Payer: Qualcare PPO/HMO/WC	$424.46

LIGASURE MARYLAND SEALER/ DIVI

Facility

$3,276.30

Hospital Charge Code	270667974
Hospital Revenue Code	272
Min. Negotiated Rate	$491.44
Max. Negotiated Rate	$491.44
Rate for Payer: Qualcare PPO/HMO/WC	$491.44

LIGASURE MARYLAND SEALER/ DIVI

Facility

$3,276.30

Hospital Charge Code	270667974
Hospital Revenue Code	272
Min. Negotiated Rate	$78.96
Max. Negotiated Rate	$1,638.15
Rate for Payer: Aetna Commercial	$1,244.99
Rate for Payer: Aetna Medicare Advantage	$982.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$835.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$835.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$835.46
Rate for Payer: Cigna Commercial	$1,638.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$982.89
Rate for Payer: Oxford Commercial	$655.26
Rate for Payer: Qualcare PPO/HMO/WC	$491.44
Rate for Payer: UnitedHealthcare Commercial	$655.26
Rate for Payer: UnitedHealthcare Community & State	$78.96
Rate for Payer: Wellpoint Medicaid Managed Care	$86.82

LIGASURE MAX VESSEL SEALNG ELC

Facility

$550.00

Hospital Charge Code	270335488
Hospital Revenue Code	272
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

LIGASURE MAX VESSEL SEALNG ELC

Facility

$550.00

Hospital Charge Code	270335488
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

LIGASURE RETRACTOR L HOOK

Facility

$3,355.13

Hospital Charge Code	270690924
Hospital Revenue Code	272
Min. Negotiated Rate	$503.27
Max. Negotiated Rate	$503.27
Rate for Payer: Qualcare PPO/HMO/WC	$503.27

LIGASURE RETRACTOR L HOOK

Facility

$3,355.13

Hospital Charge Code	270690924
Hospital Revenue Code	272
Min. Negotiated Rate	$80.86
Max. Negotiated Rate	$1,677.57
Rate for Payer: Aetna Commercial	$1,274.95
Rate for Payer: Aetna Medicare Advantage	$1,006.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$855.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$855.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$855.56
Rate for Payer: Cigna Commercial	$1,677.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,006.54
Rate for Payer: Oxford Commercial	$671.03
Rate for Payer: Qualcare PPO/HMO/WC	$503.27
Rate for Payer: UnitedHealthcare Commercial	$671.03
Rate for Payer: UnitedHealthcare Community & State	$80.86
Rate for Payer: Wellpoint Medicaid Managed Care	$88.91

LIGASURE SEALER/DIVIDER 5MM

Facility

$1,715.00

Hospital Charge Code	270660184
Hospital Revenue Code	270
Min. Negotiated Rate	$41.33
Max. Negotiated Rate	$857.50
Rate for Payer: Aetna Commercial	$651.70
Rate for Payer: Aetna Medicare Advantage	$514.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.32
Rate for Payer: Cigna Commercial	$857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.50
Rate for Payer: Oxford Commercial	$343.00
Rate for Payer: Qualcare PPO/HMO/WC	$257.25
Rate for Payer: UnitedHealthcare Commercial	$343.00
Rate for Payer: UnitedHealthcare Community & State	$41.33
Rate for Payer: Wellpoint Medicaid Managed Care	$45.45

LIGASURE SEALER/DIVIDER 5MM

Facility

$1,715.00

Hospital Charge Code	270660184
Hospital Revenue Code	270
Min. Negotiated Rate	$257.25
Max. Negotiated Rate	$257.25
Rate for Payer: Qualcare PPO/HMO/WC	$257.25

LIGATE/STP LONG LEG VEIN LT

Facility

$25,406.80

Service Code	HCPCS 37722
Hospital Charge Code	16000738
Hospital Revenue Code	360
Min. Negotiated Rate	$3,811.02
Max. Negotiated Rate	$3,811.02
Rate for Payer: Qualcare PPO/HMO/WC	$3,811.02

LIGATE/STP LONG LEG VEIN LT

Facility

$25,406.80

Service Code	HCPCS 37722
Hospital Charge Code	16000738
Hospital Revenue Code	360
Min. Negotiated Rate	$612.30
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,622.04
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,811.02
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$612.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$673.28

LIGATING DEVICE HX400U30

Facility

$475.00

Hospital Charge Code	270635551
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

LIGATING DEVICE HX400U30

Facility

$475.00

Hospital Charge Code	270635551
Hospital Revenue Code	272
Min. Negotiated Rate	$11.45
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.50
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$95.00
Rate for Payer: UnitedHealthcare Community & State	$11.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

LIGATION ARTIERIES AND VEIN

Facility

$19,137.00

Service Code	HCPCS 37600
Hospital Charge Code	160003431
Hospital Revenue Code	450
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,741.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,870.55
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$507.13

Know your out-of-pocket cost for care.

All Charges