Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEXGEN PRECOAT STEMMED TIBIAL

Facility

$6,156.70

Hospital Charge Code	270663736
Hospital Revenue Code	270
Min. Negotiated Rate	$923.50
Max. Negotiated Rate	$923.50
Rate for Payer: Qualcare PPO/HMO/WC	$923.50

NEXGEN PRECOAT STEMMED TIBIAL

Facility

$6,156.70

Hospital Charge Code	270664941
Hospital Revenue Code	278
Min. Negotiated Rate	$148.38
Max. Negotiated Rate	$3,078.35
Rate for Payer: Aetna Commercial	$2,339.55
Rate for Payer: Aetna Medicare Advantage	$1,847.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,231.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,569.96
Rate for Payer: Cigna Commercial	$3,078.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,489.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,354.47
Rate for Payer: Qualcare PPO/HMO/WC	$923.50
Rate for Payer: UnitedHealthcare Community & State	$148.38
Rate for Payer: Wellpoint Medicaid Managed Care	$163.15

NEXGEN PRECOAT STEMMED TIBIAL

Facility

$8,520.00

Hospital Charge Code	270660655
Hospital Revenue Code	278
Min. Negotiated Rate	$205.33
Max. Negotiated Rate	$4,260.00
Rate for Payer: Aetna Commercial	$3,237.60
Rate for Payer: Aetna Medicare Advantage	$2,556.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,172.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,172.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,704.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,172.60
Rate for Payer: Cigna Commercial	$4,260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,061.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,874.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,278.00
Rate for Payer: UnitedHealthcare Community & State	$205.33
Rate for Payer: Wellpoint Medicaid Managed Care	$225.78

NEXGEN PRECOAT STEMMED TIBIAL

Facility

$8,520.00

Hospital Charge Code	270660655
Hospital Revenue Code	278
Min. Negotiated Rate	$1,278.00
Max. Negotiated Rate	$2,061.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,704.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,061.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,874.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,278.00

NEXGEN SPS - FLEX FIXED PROLON

Facility

$5,862.10

Hospital Charge Code	270665482
Hospital Revenue Code	270
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) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.63
Rate for Payer: Oxford Commercial	$1,172.42
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Commercial	$1,172.42
Rate for Payer: UnitedHealthcare Community & State	$141.28
Rate for Payer: Wellpoint Medicaid Managed Care	$155.35

NEXGEN SPS - FLEX FIXED PROLON

Facility

$5,862.10

Hospital Charge Code	270665482
Hospital Revenue Code	270
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$879.32
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

NEXGEN STRAIGHT STEM 100X14

Facility

$5,245.00

Hospital Charge Code	270665819
Hospital Revenue Code	278
Min. Negotiated Rate	$126.40
Max. Negotiated Rate	$2,622.50
Rate for Payer: Aetna Commercial	$1,993.10
Rate for Payer: Aetna Medicare Advantage	$1,573.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,337.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,337.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,337.47
Rate for Payer: Cigna Commercial	$2,622.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,153.90
Rate for Payer: Qualcare PPO/HMO/WC	$786.75
Rate for Payer: UnitedHealthcare Community & State	$126.40
Rate for Payer: Wellpoint Medicaid Managed Care	$138.99

NEXGEN STRAIGHT STEM 100X14

Facility

$5,245.00

Hospital Charge Code	270665819
Hospital Revenue Code	278
Min. Negotiated Rate	$786.75
Max. Negotiated Rate	$1,269.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,153.90
Rate for Payer: Qualcare PPO/HMO/WC	$786.75

NEXGEN STRAIGHT STEM 12 X14

Facility

$5,245.00

Hospital Charge Code	270665818
Hospital Revenue Code	278
Min. Negotiated Rate	$126.40
Max. Negotiated Rate	$2,622.50
Rate for Payer: Aetna Commercial	$1,993.10
Rate for Payer: Aetna Medicare Advantage	$1,573.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,337.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,337.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,337.47
Rate for Payer: Cigna Commercial	$2,622.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,153.90
Rate for Payer: Qualcare PPO/HMO/WC	$786.75
Rate for Payer: UnitedHealthcare Community & State	$126.40
Rate for Payer: Wellpoint Medicaid Managed Care	$138.99

NEXGEN STRAIGHT STEM 12 X14

Facility

$5,245.00

Hospital Charge Code	270665818
Hospital Revenue Code	278
Min. Negotiated Rate	$786.75
Max. Negotiated Rate	$1,269.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,049.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,269.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,153.90
Rate for Payer: Qualcare PPO/HMO/WC	$786.75

NEXGEN TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270657849
Hospital Revenue Code	270
Min. Negotiated Rate	$417.13
Max. Negotiated Rate	$417.13
Rate for Payer: Qualcare PPO/HMO/WC	$417.13

NEXGEN TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270657047
Hospital Revenue Code	278
Min. Negotiated Rate	$417.13
Max. Negotiated Rate	$672.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$556.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$611.79
Rate for Payer: Qualcare PPO/HMO/WC	$417.13

NEXGEN TAPER PLUG

Facility

$556.17

Hospital Charge Code	270665467
Hospital Revenue Code	278
Min. Negotiated Rate	$13.40
Max. Negotiated Rate	$278.08
Rate for Payer: Aetna Commercial	$211.34
Rate for Payer: Aetna Medicare Advantage	$166.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.82
Rate for Payer: Cigna Commercial	$278.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.36
Rate for Payer: Qualcare PPO/HMO/WC	$83.43
Rate for Payer: UnitedHealthcare Community & State	$13.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.74

NEXGEN TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270657849
Hospital Revenue Code	270
Min. Negotiated Rate	$67.02
Max. Negotiated Rate	$1,390.42
Rate for Payer: Aetna Commercial	$1,056.72
Rate for Payer: Aetna Medicare Advantage	$834.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$709.12
Rate for Payer: Cigna Commercial	$1,390.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.25
Rate for Payer: Oxford Commercial	$556.17
Rate for Payer: Qualcare PPO/HMO/WC	$417.13
Rate for Payer: UnitedHealthcare Commercial	$556.17
Rate for Payer: UnitedHealthcare Community & State	$67.02
Rate for Payer: Wellpoint Medicaid Managed Care	$73.69

NEXGEN TAPER PLUG

Facility

$556.17

Hospital Charge Code	270665467
Hospital Revenue Code	278
Min. Negotiated Rate	$83.43
Max. Negotiated Rate	$134.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.36
Rate for Payer: Qualcare PPO/HMO/WC	$83.43

NEXGEN TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270657047
Hospital Revenue Code	278
Min. Negotiated Rate	$67.02
Max. Negotiated Rate	$1,390.42
Rate for Payer: Aetna Commercial	$1,056.72
Rate for Payer: Aetna Medicare Advantage	$834.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$556.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$709.12
Rate for Payer: Cigna Commercial	$1,390.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$611.79
Rate for Payer: Qualcare PPO/HMO/WC	$417.13
Rate for Payer: UnitedHealthcare Community & State	$67.02
Rate for Payer: Wellpoint Medicaid Managed Care	$73.69

NEXGEN TRAB MET LPS MONO 10MM

Facility

$12,048.30

Hospital Charge Code	270662345
Hospital Revenue Code	278
Min. Negotiated Rate	$290.36
Max. Negotiated Rate	$6,024.15
Rate for Payer: Aetna Commercial	$4,578.35
Rate for Payer: Aetna Medicare Advantage	$3,614.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,072.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,072.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,409.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,072.32
Rate for Payer: Cigna Commercial	$6,024.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,915.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,650.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,807.24
Rate for Payer: UnitedHealthcare Community & State	$290.36
Rate for Payer: Wellpoint Medicaid Managed Care	$319.28

NEXGEN TRAB MET LPS MONO 10MM

Facility

$12,048.30

Hospital Charge Code	270662345
Hospital Revenue Code	278
Min. Negotiated Rate	$1,807.24
Max. Negotiated Rate	$2,915.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,409.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,915.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,650.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,807.24

NEXG.LEG.KNEE SIZEC,D 23MM 1,2

Facility

$5,862.60

Hospital Charge Code	270657041
Hospital Revenue Code	278
Min. Negotiated Rate	$141.29
Max. Negotiated Rate	$2,931.30
Rate for Payer: Aetna Commercial	$2,227.79
Rate for Payer: Aetna Medicare Advantage	$1,758.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.96
Rate for Payer: Cigna Commercial	$2,931.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.77
Rate for Payer: Qualcare PPO/HMO/WC	$879.39
Rate for Payer: UnitedHealthcare Community & State	$141.29
Rate for Payer: Wellpoint Medicaid Managed Care	$155.36

NEXG.LEG.KNEE SIZEC,D 23MM 1,2

Facility

$5,862.60

Hospital Charge Code	270657041
Hospital Revenue Code	278
Min. Negotiated Rate	$879.39
Max. Negotiated Rate	$1,418.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.77
Rate for Payer: Qualcare PPO/HMO/WC	$879.39

NEXIUM 20MG INJ

Facility

$172.50

Hospital Charge Code	60629847
Hospital Revenue Code	250
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$25.88
Rate for Payer: Qualcare PPO/HMO/WC	$25.88

NEXIUM 20MG INJ

Facility

$172.50

Hospital Charge Code	60629847
Hospital Revenue Code	250
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$86.25
Rate for Payer: Aetna Commercial	$65.55
Rate for Payer: Aetna Medicare Advantage	$51.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.99
Rate for Payer: Cigna Commercial	$86.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.75
Rate for Payer: Oxford Commercial	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.88
Rate for Payer: UnitedHealthcare Commercial	$34.50
Rate for Payer: UnitedHealthcare Community & State	$4.16
Rate for Payer: Wellpoint Medicaid Managed Care	$4.57

NEXIUM 40MG INJ

Facility

$182.95

Hospital Charge Code	60629848
Hospital Revenue Code	250
Min. Negotiated Rate	$27.44
Max. Negotiated Rate	$27.44
Rate for Payer: Qualcare PPO/HMO/WC	$27.44

NEXIUM 40MG INJ

Facility

$182.95

Hospital Charge Code	60629848
Hospital Revenue Code	250
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$91.47
Rate for Payer: Aetna Commercial	$69.52
Rate for Payer: Aetna Medicare Advantage	$54.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.65
Rate for Payer: Cigna Commercial	$91.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.88
Rate for Payer: Oxford Commercial	$36.59
Rate for Payer: Qualcare PPO/HMO/WC	$27.44
Rate for Payer: UnitedHealthcare Commercial	$36.59
Rate for Payer: UnitedHealthcare Community & State	$4.41
Rate for Payer: Wellpoint Medicaid Managed Care	$4.85

NEXIUM 40 MG IV

Facility

$13.00

Hospital Charge Code	60635539
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

Know your out-of-pocket cost for care.

All Charges