Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ARTICULAR SUR SZ3,8MM 58422308

Facility

$2,868.15

Hospital Charge Code	270635700
Hospital Revenue Code	270
Min. Negotiated Rate	$69.12
Max. Negotiated Rate	$1,434.08
Rate for Payer: Aetna Commercial	$1,089.90
Rate for Payer: Aetna Medicare Advantage	$860.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$731.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$731.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$731.38
Rate for Payer: Cigna Commercial	$1,434.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$860.45
Rate for Payer: Oxford Commercial	$573.63
Rate for Payer: Qualcare PPO/HMO/WC	$430.22
Rate for Payer: UnitedHealthcare Commercial	$573.63
Rate for Payer: UnitedHealthcare Community & State	$69.12
Rate for Payer: Wellpoint Medicaid Managed Care	$76.01

ARTICULARTRE C/D STRUT

Facility

$7,625.00

Hospital Charge Code	270656642
Hospital Revenue Code	278
Min. Negotiated Rate	$183.76
Max. Negotiated Rate	$3,812.50
Rate for Payer: Aetna Commercial	$2,897.50
Rate for Payer: Aetna Medicare Advantage	$2,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,944.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,944.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,944.38
Rate for Payer: Cigna Commercial	$3,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,845.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,677.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,143.75
Rate for Payer: UnitedHealthcare Community & State	$183.76
Rate for Payer: Wellpoint Medicaid Managed Care	$202.06

ARTICULARTRE C/D STRUT

Facility

$7,625.00

Hospital Charge Code	270656642
Hospital Revenue Code	278
Min. Negotiated Rate	$1,143.75
Max. Negotiated Rate	$1,845.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,845.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,677.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,143.75

ARTICULARY CLAMP

Facility

$1,650.00

Hospital Charge Code	270656644
Hospital Revenue Code	272
Min. Negotiated Rate	$39.77
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$627.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$495.00
Rate for Payer: Oxford Commercial	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$330.00
Rate for Payer: UnitedHealthcare Community & State	$39.77
Rate for Payer: Wellpoint Medicaid Managed Care	$43.73

ARTICULARY CLAMP

Facility

$1,650.00

Hospital Charge Code	270656644
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

ARTICULATING STAPLER 55MM

Facility

$350.00

Hospital Charge Code	270335693
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

ARTICULATING STAPLER 55MM

Facility

$350.00

Hospital Charge Code	270335693
Hospital Revenue Code	272
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.00
Rate for Payer: Oxford Commercial	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$70.00
Rate for Payer: UnitedHealthcare Community & State	$8.44
Rate for Payer: Wellpoint Medicaid Managed Care	$9.28

ARTICUL/EZE FEMORAL HEAD

Facility

$2,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270649216
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

ARTICUL/EZE FEMORAL HEAD

Facility

$2,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270649216
Hospital Revenue Code	278
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Community & State	$60.25
Rate for Payer: Wellpoint Medicaid Managed Care	$66.25

ARTRL BLOOD GAS W/ SHOCK PANEL

Facility

$1,255.57

Service Code	HCPCS 82803
Hospital Charge Code	397360011
Hospital Revenue Code	300
Min. Negotiated Rate	$188.34
Max. Negotiated Rate	$188.34
Rate for Payer: Qualcare PPO/HMO/WC	$188.34

ARTRL BLOOD GAS W/ SHOCK PANEL

Facility

$1,255.57

Service Code	HCPCS 82803
Hospital Charge Code	397360011
Hospital Revenue Code	300
Min. Negotiated Rate	$20.86
Max. Negotiated Rate	$627.78
Rate for Payer: Aetna Commercial	$70.91
Rate for Payer: Aetna Medicare Advantage	$84.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.10
Rate for Payer: Cigna Commercial	$627.78
Rate for Payer: Cigna Medicare Advantage	$26.07
Rate for Payer: Clover Medicare Advantage	$24.77
Rate for Payer: EmblemHealth Commercial	$78.21
Rate for Payer: Humana Medicare Advantage	$26.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$376.67
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$188.34
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.07
Rate for Payer: Wellcare Medicare Advantage	$26.07
Rate for Payer: Wellpoint Medicaid Managed Care	$33.27

ARTS & CRAFTS THERAPY GROUP

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246105
Hospital Revenue Code	915
Min. Negotiated Rate	$19.30
Max. Negotiated Rate	$435.65
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.65
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.24
Rate for Payer: Qualcare PPO/HMO/WC	$120.12
Rate for Payer: UnitedHealthcare Community & State	$19.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48
Rate for Payer: Wellpoint Medicaid Managed Care	$21.22

ARTS & CRAFTS THERAPY GROUP

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246105
Hospital Revenue Code	915
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$120.12
Rate for Payer: Qualcare PPO/HMO/WC	$120.12

ARTS & CRAFTS THERAPY INDIVIDU

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246110
Hospital Revenue Code	915
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$120.12
Rate for Payer: Qualcare PPO/HMO/WC	$120.12

ARTS & CRAFTS THERAPY INDIVIDU

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246110
Hospital Revenue Code	915
Min. Negotiated Rate	$19.30
Max. Negotiated Rate	$435.65
Rate for Payer: Aetna Commercial	$328.28
Rate for Payer: Aetna Medicare Advantage	$391.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$120.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.65
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: Cigna Medicare Advantage	$120.69
Rate for Payer: Clover Medicare Advantage	$114.66
Rate for Payer: EmblemHealth Commercial	$362.07
Rate for Payer: Humana Medicare Advantage	$124.31
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$120.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.24
Rate for Payer: Qualcare PPO/HMO/WC	$120.12
Rate for Payer: UnitedHealthcare Community & State	$19.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$120.69
Rate for Payer: Wellcare Medicare Advantage	$120.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48
Rate for Payer: Wellpoint Medicaid Managed Care	$21.22

ART SURFACE

Facility

$5,862.00

Hospital Charge Code	270656956
Hospital Revenue Code	278
Min. Negotiated Rate	$141.27
Max. Negotiated Rate	$2,931.00
Rate for Payer: Aetna Commercial	$2,227.56
Rate for Payer: Aetna Medicare Advantage	$1,758.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.81
Rate for Payer: Cigna Commercial	$2,931.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.64
Rate for Payer: Qualcare PPO/HMO/WC	$879.30
Rate for Payer: UnitedHealthcare Community & State	$141.27
Rate for Payer: Wellpoint Medicaid Managed Care	$155.34

ART SURFACE

Facility

$5,862.00

Hospital Charge Code	270656956
Hospital Revenue Code	278
Min. Negotiated Rate	$879.30
Max. Negotiated Rate	$1,418.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.64
Rate for Payer: Qualcare PPO/HMO/WC	$879.30

ART SURFACE 12MM

Facility

$5,862.10

Hospital Charge Code	270656959
Hospital Revenue Code	278
Min. Negotiated Rate	$141.28
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$2,227.60
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.66
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Community & State	$141.28
Rate for Payer: Wellpoint Medicaid Managed Care	$155.35

ART SURFACE 12MM

Facility

$5,862.10

Hospital Charge Code	270656959
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.66
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

ART SURFACE D414

Facility

$5,862.10

Hospital Charge Code	270656960
Hospital Revenue Code	278
Min. Negotiated Rate	$141.28
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$2,227.60
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.66
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Community & State	$141.28
Rate for Payer: Wellpoint Medicaid Managed Care	$155.35

ART SURFACE D414

Facility

$5,862.10

Hospital Charge Code	270656960
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.66
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

ART SURF LCCK CD 3-4 20MM YELL

Facility

$9,271.00

Hospital Charge Code	270669763
Hospital Revenue Code	278
Min. Negotiated Rate	$223.43
Max. Negotiated Rate	$4,635.50
Rate for Payer: Aetna Commercial	$3,522.98
Rate for Payer: Aetna Medicare Advantage	$2,781.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,364.11
Rate for Payer: Cigna Commercial	$4,635.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,039.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65
Rate for Payer: UnitedHealthcare Community & State	$223.43
Rate for Payer: Wellpoint Medicaid Managed Care	$245.68

ART SURF LCCK CD 3-4 20MM YELL

Facility

$9,271.00

Hospital Charge Code	270669763
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.65
Max. Negotiated Rate	$2,243.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,039.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65

ART SURF LCCK EF 3-4 17MM YEL

Facility

$9,271.00

Hospital Charge Code	270671567
Hospital Revenue Code	278
Min. Negotiated Rate	$223.43
Max. Negotiated Rate	$4,635.50
Rate for Payer: Aetna Commercial	$3,522.98
Rate for Payer: Aetna Medicare Advantage	$2,781.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,364.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,364.11
Rate for Payer: Cigna Commercial	$4,635.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,039.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65
Rate for Payer: UnitedHealthcare Community & State	$223.43
Rate for Payer: Wellpoint Medicaid Managed Care	$245.68

ART SURF LCCK EF 3-4 17MM YEL

Facility

$9,271.00

Hospital Charge Code	270671567
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.65
Max. Negotiated Rate	$2,243.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,039.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.65

Know your out-of-pocket cost for care.

All Charges