Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LIGHT FIBER LOW PROFILE 7MM

Facility

$7,945.00

Hospital Charge Code	270665840
Hospital Revenue Code	270
Min. Negotiated Rate	$191.47
Max. Negotiated Rate	$3,972.50
Rate for Payer: Aetna Commercial	$3,019.10
Rate for Payer: Aetna Medicare Advantage	$2,383.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,025.97
Rate for Payer: Cigna Commercial	$3,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,383.50
Rate for Payer: Oxford Commercial	$1,589.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75
Rate for Payer: UnitedHealthcare Commercial	$1,589.00
Rate for Payer: UnitedHealthcare Community & State	$191.47
Rate for Payer: Wellpoint Medicaid Managed Care	$210.54

LIGHT FIBER LOW PROFILE 7MM

Facility

$7,945.00

Hospital Charge Code	270665840
Hospital Revenue Code	270
Min. Negotiated Rate	$1,191.75
Max. Negotiated Rate	$1,191.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,191.75

LIGHT SOURCE STAND AND HEADLIG

Facility

$7,500.00

Hospital Charge Code	270666076
Hospital Revenue Code	270
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

LIGHT SOURCE STAND AND HEADLIG

Facility

$7,500.00

Hospital Charge Code	270666076
Hospital Revenue Code	270
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,250.00
Rate for Payer: Oxford Commercial	$1,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$1,500.00
Rate for Payer: UnitedHealthcare Community & State	$180.75
Rate for Payer: Wellpoint Medicaid Managed Care	$198.75

LIGHT STRIP STERILE

Facility

$2,900.00

Hospital Charge Code	270656686
Hospital Revenue Code	272
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$435.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

LIGHT STRIP STERILE

Facility

$2,900.00

Hospital Charge Code	270656686
Hospital Revenue Code	272
Min. Negotiated Rate	$69.89
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$1,102.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$870.00
Rate for Payer: Oxford Commercial	$580.00
Rate for Payer: Qualcare PPO/HMO/WC	$435.00
Rate for Payer: UnitedHealthcare Commercial	$580.00
Rate for Payer: UnitedHealthcare Community & State	$69.89
Rate for Payer: Wellpoint Medicaid Managed Care	$76.85

LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$123,760.51

Service Code	MSDRG 956
Min. Negotiated Rate	$37,683.49
Max. Negotiated Rate	$123,760.51
Rate for Payer: Aetna Commercial	$85,294.89
Rate for Payer: Aetna Medicare Advantage	$123,760.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90,252.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90,252.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39,666.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90,252.68
Rate for Payer: Cigna Commercial	$70,420.78
Rate for Payer: Cigna Medicare Advantage	$39,666.83
Rate for Payer: Clover Medicare Advantage	$37,683.49
Rate for Payer: EmblemHealth Commercial	$119,000.49
Rate for Payer: Humana Medicare Advantage	$40,856.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39,666.83
Rate for Payer: Oxford Commercial	$50,612.35
Rate for Payer: UnitedHealthcare Commercial	$88,750.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$39,666.83
Rate for Payer: Wellcare Medicare Advantage	$39,666.83

LIMITOOR VOL LTG CSF DRAIN SYS

Facility

$450.00

Hospital Charge Code	270697035
Hospital Revenue Code	271
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

LIMITOOR VOL LTG CSF DRAIN SYS

Facility

$450.00

Hospital Charge Code	270697035
Hospital Revenue Code	271
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

LINDANE 1%/60ML

Facility

$15.00

Hospital Charge Code	60633306
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

LINDANE 1%/60ML

Facility

$15.00

Hospital Charge Code	60633307
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

LINDANE 1%/60ML

Facility

$15.00

Hospital Charge Code	60633306
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

LINDANE 1%/60ML

Facility

$15.00

Hospital Charge Code	60633307
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

LINDANE 1% LOTION 60 ML

Facility

$14.81

Service Code	NDC 61748040102
Hospital Charge Code	6003321
Hospital Revenue Code	250
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.22

LINDANE 1% LOTION 60 ML

Facility

$14.81

Service Code	NDC 61748040102
Hospital Charge Code	6003321
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.41
Rate for Payer: Aetna Commercial	$5.63
Rate for Payer: Aetna Medicare Advantage	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.78
Rate for Payer: Cigna Commercial	$7.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.44
Rate for Payer: Oxford Commercial	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.22
Rate for Payer: UnitedHealthcare Commercial	$2.96
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

LINDON STONE ABTRACT***

Facility

$740.00

Hospital Charge Code	2300598
Hospital Revenue Code	279
Min. Negotiated Rate	$17.83
Max. Negotiated Rate	$370.00
Rate for Payer: Aetna Commercial	$281.20
Rate for Payer: Aetna Medicare Advantage	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.70
Rate for Payer: Cigna Commercial	$370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.00
Rate for Payer: Oxford Commercial	$148.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00
Rate for Payer: UnitedHealthcare Commercial	$148.00
Rate for Payer: UnitedHealthcare Community & State	$17.83
Rate for Payer: Wellpoint Medicaid Managed Care	$19.61

LINDON STONE ABTRACT***

Facility

$740.00

Hospital Charge Code	2300598
Hospital Revenue Code	279
Min. Negotiated Rate	$111.00
Max. Negotiated Rate	$111.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00

LINEAR CUTTER 75MM

Facility

$267.00

Hospital Charge Code	270338707
Hospital Revenue Code	272
Min. Negotiated Rate	$40.05
Max. Negotiated Rate	$40.05
Rate for Payer: Qualcare PPO/HMO/WC	$40.05

LINEAR CUTTER 75MM

Facility

$267.00

Hospital Charge Code	270338707
Hospital Revenue Code	272
Min. Negotiated Rate	$6.43
Max. Negotiated Rate	$133.50
Rate for Payer: Aetna Commercial	$101.46
Rate for Payer: Aetna Medicare Advantage	$80.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.08
Rate for Payer: Cigna Commercial	$133.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.10
Rate for Payer: Oxford Commercial	$53.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.05
Rate for Payer: UnitedHealthcare Commercial	$53.40
Rate for Payer: UnitedHealthcare Community & State	$6.43
Rate for Payer: Wellpoint Medicaid Managed Care	$7.08

LINEAR CUTTER ECH FLEX 60MM 28

Facility

$1,887.30

Hospital Charge Code	270671549
Hospital Revenue Code	272
Min. Negotiated Rate	$283.10
Max. Negotiated Rate	$283.10
Rate for Payer: Qualcare PPO/HMO/WC	$283.10

LINEAR CUTTER ECH FLEX 60MM 28

Facility

$1,887.30

Hospital Charge Code	270671549
Hospital Revenue Code	272
Min. Negotiated Rate	$45.48
Max. Negotiated Rate	$943.65
Rate for Payer: Aetna Commercial	$717.17
Rate for Payer: Aetna Medicare Advantage	$566.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$481.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$481.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$481.26
Rate for Payer: Cigna Commercial	$943.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$566.19
Rate for Payer: Oxford Commercial	$377.46
Rate for Payer: Qualcare PPO/HMO/WC	$283.10
Rate for Payer: UnitedHealthcare Commercial	$377.46
Rate for Payer: UnitedHealthcare Community & State	$45.48
Rate for Payer: Wellpoint Medicaid Managed Care	$50.01

LINEAR CUTTER STAPLER 55MM

Facility

$178.00

Hospital Charge Code	270335692
Hospital Revenue Code	272
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$89.00
Rate for Payer: Aetna Commercial	$67.64
Rate for Payer: Aetna Medicare Advantage	$53.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.39
Rate for Payer: Cigna Commercial	$89.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.40
Rate for Payer: Oxford Commercial	$35.60
Rate for Payer: Qualcare PPO/HMO/WC	$26.70
Rate for Payer: UnitedHealthcare Commercial	$35.60
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$4.72

LINEAR CUTTER STAPLER 55MM

Facility

$178.00

Hospital Charge Code	270335692
Hospital Revenue Code	272
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$26.70
Rate for Payer: Qualcare PPO/HMO/WC	$26.70

LINEAR INTRALUMINAL STAPLER

Facility

$511.00

Hospital Charge Code	270338714
Hospital Revenue Code	272
Min. Negotiated Rate	$12.32
Max. Negotiated Rate	$255.50
Rate for Payer: Aetna Commercial	$194.18
Rate for Payer: Aetna Medicare Advantage	$153.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.31
Rate for Payer: Cigna Commercial	$255.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.30
Rate for Payer: Oxford Commercial	$102.20
Rate for Payer: Qualcare PPO/HMO/WC	$76.65
Rate for Payer: UnitedHealthcare Commercial	$102.20
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$13.54

LINEAR INTRALUMINAL STAPLER

Facility

$511.00

Hospital Charge Code	270338714
Hospital Revenue Code	272
Min. Negotiated Rate	$76.65
Max. Negotiated Rate	$76.65
Rate for Payer: Qualcare PPO/HMO/WC	$76.65

Know your out-of-pocket cost for care.

All Charges