Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MINERAL OIL PETROLAT TOP 60GM

Facility

$70.40

Hospital Charge Code	6003768
Hospital Revenue Code	251
Min. Negotiated Rate	$10.56
Max. Negotiated Rate	$10.56
Rate for Payer: Qualcare PPO/HMO/WC	$10.56

MINERAL OIL PETROLAT TOP 60GM

Facility

$70.40

Hospital Charge Code	6003768
Hospital Revenue Code	251
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$35.20
Rate for Payer: Aetna Commercial	$26.75
Rate for Payer: Aetna Medicare Advantage	$21.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.95
Rate for Payer: Cigna Commercial	$35.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.12
Rate for Payer: Oxford Commercial	$14.08
Rate for Payer: Qualcare PPO/HMO/WC	$10.56
Rate for Payer: UnitedHealthcare Commercial	$14.08
Rate for Payer: UnitedHealthcare Community & State	$1.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1.87

MINERAL OIL PHENOL SSP 8OZ

Facility

$34.60

Hospital Charge Code	6003776
Hospital Revenue Code	251
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$13.15
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.38
Rate for Payer: Oxford Commercial	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$6.92
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

MINERAL OIL PHENOL SSP 8OZ

Facility

$34.60

Hospital Charge Code	6003776
Hospital Revenue Code	251
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

MINERAL OIL VIAL

Facility

$10.90

Hospital Charge Code	6012868
Hospital Revenue Code	252
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.45
Rate for Payer: Aetna Commercial	$4.14
Rate for Payer: Aetna Medicare Advantage	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.78
Rate for Payer: Cigna Commercial	$5.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.27
Rate for Payer: Oxford Commercial	$2.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.64
Rate for Payer: UnitedHealthcare Commercial	$2.18
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

MINERAL OIL VIAL

Facility

$10.90

Hospital Charge Code	6012868
Hospital Revenue Code	252
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.64

MINERCA CO2 CANNISTER

Facility

$55.00

Hospital Charge Code	270704554
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

MINERCA CO2 CANNISTER

Facility

$55.00

Hospital Charge Code	270704554
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$20.90
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.50
Rate for Payer: Oxford Commercial	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$11.00
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

MINERVA ARGON CANNISTER

Facility

$85.00

Hospital Charge Code	270704553
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

MINERVA ARGON CANNISTER

Facility

$85.00

Hospital Charge Code	270704553
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.50
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$2.25

MINERVA HANDPIECE

Facility

$5,000.00

Hospital Charge Code	270704552
Hospital Revenue Code	272
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

MINERVA HANDPIECE

Facility

$5,000.00

Hospital Charge Code	270704552
Hospital Revenue Code	272
Min. Negotiated Rate	$120.50
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,500.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00
Rate for Payer: UnitedHealthcare Community & State	$120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$132.50

MINIAR PIECISE

Facility

$8,615.00

Hospital Charge Code	270669794
Hospital Revenue Code	272
Min. Negotiated Rate	$207.62
Max. Negotiated Rate	$4,307.50
Rate for Payer: Aetna Commercial	$3,273.70
Rate for Payer: Aetna Medicare Advantage	$2,584.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,196.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,196.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,196.82
Rate for Payer: Cigna Commercial	$4,307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,584.50
Rate for Payer: Oxford Commercial	$1,723.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,292.25
Rate for Payer: UnitedHealthcare Commercial	$1,723.00
Rate for Payer: UnitedHealthcare Community & State	$207.62
Rate for Payer: Wellpoint Medicaid Managed Care	$228.30

MINIAR PIECISE

Facility

$8,615.00

Hospital Charge Code	270669794
Hospital Revenue Code	272
Min. Negotiated Rate	$1,292.25
Max. Negotiated Rate	$1,292.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,292.25

MINI BIO ANCHOR

Facility

$437.00

Hospital Charge Code	270335686
Hospital Revenue Code	278
Min. Negotiated Rate	$10.53
Max. Negotiated Rate	$218.50
Rate for Payer: Aetna Commercial	$166.06
Rate for Payer: Aetna Medicare Advantage	$131.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.44
Rate for Payer: Cigna Commercial	$218.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$96.14
Rate for Payer: Qualcare PPO/HMO/WC	$65.55
Rate for Payer: UnitedHealthcare Community & State	$10.53
Rate for Payer: Wellpoint Medicaid Managed Care	$11.58

MINI BIO ANCHOR

Facility

$437.00

Hospital Charge Code	270335686
Hospital Revenue Code	278
Min. Negotiated Rate	$65.55
Max. Negotiated Rate	$105.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$96.14
Rate for Payer: Qualcare PPO/HMO/WC	$65.55

MINI BLADE #63

Facility

$677.00

Hospital Charge Code	270330756
Hospital Revenue Code	272
Min. Negotiated Rate	$101.55
Max. Negotiated Rate	$101.55
Rate for Payer: Qualcare PPO/HMO/WC	$101.55

MINI BLADE #63

Facility

$677.00

Hospital Charge Code	270330756
Hospital Revenue Code	272
Min. Negotiated Rate	$16.32
Max. Negotiated Rate	$338.50
Rate for Payer: Aetna Commercial	$257.26
Rate for Payer: Aetna Medicare Advantage	$203.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.63
Rate for Payer: Cigna Commercial	$338.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.10
Rate for Payer: Oxford Commercial	$135.40
Rate for Payer: Qualcare PPO/HMO/WC	$101.55
Rate for Payer: UnitedHealthcare Commercial	$135.40
Rate for Payer: UnitedHealthcare Community & State	$16.32
Rate for Payer: Wellpoint Medicaid Managed Care	$17.94

MINI BUN 2.7X14MM NONLOCK SCR

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690788
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

MINI BUN 2.7X14MM NONLOCK SCR

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270690788
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

MINI BUN 3.0X18MM LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270690789
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

MINI BUN 3.0X18MM LOCK SCREW

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270690789
Hospital Revenue Code	278
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

MINIBUNION 2.7X18 SCREWNON LK

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693367
Hospital Revenue Code	278
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$297.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$270.60
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

MINIBUNION 2.7X18 SCREWNON LK

Facility

$1,230.00

Service Code	HCPCS C1713
Hospital Charge Code	270693367
Hospital Revenue Code	278
Min. Negotiated Rate	$29.64
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$467.40
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$270.60
Rate for Payer: Qualcare PPO/HMO/WC	$184.50
Rate for Payer: UnitedHealthcare Community & State	$29.64
Rate for Payer: Wellpoint Medicaid Managed Care	$32.59

MINI BUNION 3.0X22MM SCREW LK

Facility

$1,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270693368
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$357.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

Know your out-of-pocket cost for care.

All Charges