Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MARKER LEADING RADIO 5FRx 12cm

Facility

$385.00

Service Code	HCPCS C2617
Hospital Charge Code	270679135
Hospital Revenue Code	278
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$93.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

MARKER LEADING RADIO 5FRx 12cm

Facility

$385.00

Service Code	HCPCS C2617
Hospital Charge Code	270679135
Hospital Revenue Code	278
Min. Negotiated Rate	$9.28
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.70
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Community & State	$9.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.20

MARKER LINERITY SET 4X1ML TUMO

Facility

$524.85

Hospital Charge Code	270665561
Hospital Revenue Code	270
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.43
Rate for Payer: Aetna Commercial	$199.44
Rate for Payer: Aetna Medicare Advantage	$157.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.84
Rate for Payer: Cigna Commercial	$262.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.46
Rate for Payer: Oxford Commercial	$104.97
Rate for Payer: Qualcare PPO/HMO/WC	$78.73
Rate for Payer: UnitedHealthcare Commercial	$104.97
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

MARKER LINERITY SET 4X1ML TUMO

Facility

$524.85

Hospital Charge Code	270665561
Hospital Revenue Code	270
Min. Negotiated Rate	$78.73
Max. Negotiated Rate	$78.73
Rate for Payer: Qualcare PPO/HMO/WC	$78.73

MARKER PASSIVE 6143.2591S

Facility

$12.67

Hospital Charge Code	270692793
Hospital Revenue Code	270
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.33
Rate for Payer: Aetna Commercial	$4.81
Rate for Payer: Aetna Medicare Advantage	$3.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.23
Rate for Payer: Cigna Commercial	$6.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.80
Rate for Payer: Oxford Commercial	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.90
Rate for Payer: UnitedHealthcare Commercial	$2.53
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

MARKER PASSIVE 6143.2591S

Facility

$12.67

Hospital Charge Code	270692793
Hospital Revenue Code	270
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$1.90
Rate for Payer: Qualcare PPO/HMO/WC	$1.90

MARKER PETITE NON-STERILE SKIN

Facility

$144.00

Hospital Charge Code	270655642
Hospital Revenue Code	271
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$54.72
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.20
Rate for Payer: Oxford Commercial	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$28.80
Rate for Payer: UnitedHealthcare Community & State	$3.47
Rate for Payer: Wellpoint Medicaid Managed Care	$3.82

MARKER PETITE NON-STERILE SKIN

Facility

$144.00

Hospital Charge Code	270655642
Hospital Revenue Code	271
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

MARKER PRE-OP SAFE ZONE

Facility

$140.83

Hospital Charge Code	270649444
Hospital Revenue Code	271
Min. Negotiated Rate	$21.12
Max. Negotiated Rate	$21.12
Rate for Payer: Qualcare PPO/HMO/WC	$21.12

MARKER PRE-OP SAFE ZONE

Facility

$140.83

Hospital Charge Code	270649444
Hospital Revenue Code	271
Min. Negotiated Rate	$3.39
Max. Negotiated Rate	$70.42
Rate for Payer: Aetna Commercial	$53.52
Rate for Payer: Aetna Medicare Advantage	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.91
Rate for Payer: Cigna Commercial	$70.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.25
Rate for Payer: Oxford Commercial	$28.17
Rate for Payer: Qualcare PPO/HMO/WC	$21.12
Rate for Payer: UnitedHealthcare Commercial	$28.17
Rate for Payer: UnitedHealthcare Community & State	$3.39
Rate for Payer: Wellpoint Medicaid Managed Care	$3.73

MARKER SECURE MARK BX SITE

Facility

$4,037.50

Hospital Charge Code	270664833
Hospital Revenue Code	270
Min. Negotiated Rate	$605.62
Max. Negotiated Rate	$605.62
Rate for Payer: Qualcare PPO/HMO/WC	$605.62

MARKER SECURE MARK BX SITE

Facility

$4,037.50

Hospital Charge Code	270664833
Hospital Revenue Code	270
Min. Negotiated Rate	$97.30
Max. Negotiated Rate	$2,018.75
Rate for Payer: Aetna Commercial	$1,534.25
Rate for Payer: Aetna Medicare Advantage	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,029.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,029.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,029.56
Rate for Payer: Cigna Commercial	$2,018.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,211.25
Rate for Payer: Oxford Commercial	$807.50
Rate for Payer: Qualcare PPO/HMO/WC	$605.62
Rate for Payer: UnitedHealthcare Commercial	$807.50
Rate for Payer: UnitedHealthcare Community & State	$97.30
Rate for Payer: Wellpoint Medicaid Managed Care	$106.99

MARKER SITE ID 2ND SHAPE

Facility

$403.75

Service Code	HCPCS A4648
Hospital Charge Code	270644703
Hospital Revenue Code	278
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$201.88
Rate for Payer: Aetna Commercial	$153.43
Rate for Payer: Aetna Medicare Advantage	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.96
Rate for Payer: Cigna Commercial	$201.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$88.83
Rate for Payer: Qualcare PPO/HMO/WC	$60.56
Rate for Payer: UnitedHealthcare Community & State	$9.73
Rate for Payer: Wellpoint Medicaid Managed Care	$10.70

MARKER SITE ID 2ND SHAPE

Facility

$403.75

Service Code	HCPCS A4648
Hospital Charge Code	270644703
Hospital Revenue Code	278
Min. Negotiated Rate	$60.56
Max. Negotiated Rate	$97.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$88.83
Rate for Payer: Qualcare PPO/HMO/WC	$60.56

MARKER SITE ID EVIVA 1ST SHAPE

Facility

$410.00

Service Code	HCPCS A4648
Hospital Charge Code	270642616
Hospital Revenue Code	278
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$99.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$90.20
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

MARKER SITE ID EVIVA 1ST SHAPE

Facility

$410.00

Service Code	HCPCS A4648
Hospital Charge Code	270642616
Hospital Revenue Code	278
Min. Negotiated Rate	$9.88
Max. Negotiated Rate	$205.00
Rate for Payer: Aetna Commercial	$155.80
Rate for Payer: Aetna Medicare Advantage	$123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.55
Rate for Payer: Cigna Commercial	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$90.20
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Community & State	$9.88
Rate for Payer: Wellpoint Medicaid Managed Care	$10.87

MARKER SKIN

Facility

$596.25

Hospital Charge Code	270655643
Hospital Revenue Code	271
Min. Negotiated Rate	$89.44
Max. Negotiated Rate	$89.44
Rate for Payer: Qualcare PPO/HMO/WC	$89.44

MARKER SKIN

Facility

$596.25

Hospital Charge Code	270655643
Hospital Revenue Code	271
Min. Negotiated Rate	$14.37
Max. Negotiated Rate	$298.12
Rate for Payer: Aetna Commercial	$226.57
Rate for Payer: Aetna Medicare Advantage	$178.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.04
Rate for Payer: Cigna Commercial	$298.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.88
Rate for Payer: Oxford Commercial	$119.25
Rate for Payer: Qualcare PPO/HMO/WC	$89.44
Rate for Payer: UnitedHealthcare Commercial	$119.25
Rate for Payer: UnitedHealthcare Community & State	$14.37
Rate for Payer: Wellpoint Medicaid Managed Care	$15.80

MARKERS MINI SKIN

Facility

$711.45

Hospital Charge Code	270663902
Hospital Revenue Code	270
Min. Negotiated Rate	$17.15
Max. Negotiated Rate	$355.73
Rate for Payer: Aetna Commercial	$270.35
Rate for Payer: Aetna Medicare Advantage	$213.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.42
Rate for Payer: Cigna Commercial	$355.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.44
Rate for Payer: Oxford Commercial	$142.29
Rate for Payer: Qualcare PPO/HMO/WC	$106.72
Rate for Payer: UnitedHealthcare Commercial	$142.29
Rate for Payer: UnitedHealthcare Community & State	$17.15
Rate for Payer: Wellpoint Medicaid Managed Care	$18.85

MARKERS MINI SKIN

Facility

$711.45

Hospital Charge Code	270663902
Hospital Revenue Code	270
Min. Negotiated Rate	$106.72
Max. Negotiated Rate	$106.72
Rate for Payer: Qualcare PPO/HMO/WC	$106.72

MARKER SURGICAL SKIN

Facility

$2.49

Hospital Charge Code	270649445
Hospital Revenue Code	270
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

MARKER SURGICAL SKIN

Facility

$2.49

Hospital Charge Code	270649445
Hospital Revenue Code	270
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.25
Rate for Payer: Aetna Commercial	$0.95
Rate for Payer: Aetna Medicare Advantage	$0.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.63
Rate for Payer: Cigna Commercial	$1.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.75
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$0.50
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.07

MARKER SURVELLANCE PERC PIN

Facility

$2,250.00

Hospital Charge Code	270696764
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$675.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$450.00
Rate for Payer: UnitedHealthcare Community & State	$54.23
Rate for Payer: Wellpoint Medicaid Managed Care	$59.62

MARKER SURVELLANCE PERC PIN

Facility

$2,250.00

Hospital Charge Code	270696764
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

MARKER TRIMARK CLIP TI TD13MR

Facility

$388.00

Service Code	HCPCS A4648
Hospital Charge Code	270673749R
Hospital Revenue Code	278
Min. Negotiated Rate	$58.20
Max. Negotiated Rate	$93.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$85.36
Rate for Payer: Qualcare PPO/HMO/WC	$58.20

Know your out-of-pocket cost for care.

All Charges