Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PUNCH CORNEA DONO 7.7MM

Facility

$430.45

Hospital Charge Code	270600222
Hospital Revenue Code	272
Min. Negotiated Rate	$64.57
Max. Negotiated Rate	$64.57
Rate for Payer: Qualcare PPO/HMO/WC	$64.57

PUNCH CORNEA DONO 8.5MM

Facility

$430.45

Hospital Charge Code	270600225
Hospital Revenue Code	272
Min. Negotiated Rate	$64.57
Max. Negotiated Rate	$64.57
Rate for Payer: Qualcare PPO/HMO/WC	$64.57

PUNCH CORNEA DONO 8.5MM

Facility

$430.45

Hospital Charge Code	270600227
Hospital Revenue Code	272
Min. Negotiated Rate	$64.57
Max. Negotiated Rate	$64.57
Rate for Payer: Qualcare PPO/HMO/WC	$64.57

PUNCH CORNEA DONO 8.5MM

Facility

$430.45

Hospital Charge Code	270600225
Hospital Revenue Code	272
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$215.22
Rate for Payer: Aetna Commercial	$163.57
Rate for Payer: Aetna Medicare Advantage	$129.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.76
Rate for Payer: Cigna Commercial	$215.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.13
Rate for Payer: Oxford Commercial	$86.09
Rate for Payer: Qualcare PPO/HMO/WC	$64.57
Rate for Payer: UnitedHealthcare Commercial	$86.09
Rate for Payer: UnitedHealthcare Community & State	$10.37
Rate for Payer: Wellpoint Medicaid Managed Care	$11.41

PUNCH CORNEA DONO 8.5MM

Facility

$430.45

Hospital Charge Code	270600227
Hospital Revenue Code	272
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$215.22
Rate for Payer: Aetna Commercial	$163.57
Rate for Payer: Aetna Medicare Advantage	$129.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.76
Rate for Payer: Cigna Commercial	$215.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.13
Rate for Payer: Oxford Commercial	$86.09
Rate for Payer: Qualcare PPO/HMO/WC	$64.57
Rate for Payer: UnitedHealthcare Commercial	$86.09
Rate for Payer: UnitedHealthcare Community & State	$10.37
Rate for Payer: Wellpoint Medicaid Managed Care	$11.41

PUNCH CORNEA DONO 8.7MM

Facility

$430.45

Hospital Charge Code	270600228
Hospital Revenue Code	272
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$215.22
Rate for Payer: Aetna Commercial	$163.57
Rate for Payer: Aetna Medicare Advantage	$129.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.76
Rate for Payer: Cigna Commercial	$215.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.13
Rate for Payer: Oxford Commercial	$86.09
Rate for Payer: Qualcare PPO/HMO/WC	$64.57
Rate for Payer: UnitedHealthcare Commercial	$86.09
Rate for Payer: UnitedHealthcare Community & State	$10.37
Rate for Payer: Wellpoint Medicaid Managed Care	$11.41

PUNCH CORNEA DONO 8.7MM

Facility

$430.45

Hospital Charge Code	270600228
Hospital Revenue Code	272
Min. Negotiated Rate	$64.57
Max. Negotiated Rate	$64.57
Rate for Payer: Qualcare PPO/HMO/WC	$64.57

PUNCH CORNEA DONOR KATENA ****

Facility

$112.00

Hospital Charge Code	1607043
Hospital Revenue Code	272
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$56.00
Rate for Payer: Aetna Commercial	$42.56
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.60
Rate for Payer: Oxford Commercial	$22.40
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$22.40
Rate for Payer: UnitedHealthcare Community & State	$2.70
Rate for Payer: Wellpoint Medicaid Managed Care	$2.97

PUNCH CORNEA DONOR KATENA ****

Facility

$112.00

Hospital Charge Code	1607043
Hospital Revenue Code	272
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

PUNCH DISP CRKSDRW SWVLK ANCHS

Facility

$375.00

Hospital Charge Code	270656550
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

PUNCH DISP CRKSDRW SWVLK ANCHS

Facility

$375.00

Hospital Charge Code	270656550
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

PUNCH FOR 3.5MM PUSHLOCK

Facility

$950.00

Hospital Charge Code	270656551
Hospital Revenue Code	271
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

PUNCH FOR 3.5MM PUSHLOCK

Facility

$950.00

Hospital Charge Code	270656551
Hospital Revenue Code	271
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

PUNCH FOR 3.9MM SWIVELOCK

Facility

$950.00

Hospital Charge Code	270687859
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

PUNCH FOR 3.9MM SWIVELOCK

Facility

$950.00

Hospital Charge Code	270687859
Hospital Revenue Code	272
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

PUNCH FOR 4.5MM LOCK

Facility

$950.00

Hospital Charge Code	270656552
Hospital Revenue Code	271
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

PUNCH FOR 4.5MM LOCK

Facility

$950.00

Hospital Charge Code	270656552
Hospital Revenue Code	271
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

PUNCH KOFLER HAJEK

Facility

$4,211.00

Hospital Charge Code	270689937
Hospital Revenue Code	272
Min. Negotiated Rate	$101.49
Max. Negotiated Rate	$2,105.50
Rate for Payer: Aetna Commercial	$1,600.18
Rate for Payer: Aetna Medicare Advantage	$1,263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,073.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,073.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,073.81
Rate for Payer: Cigna Commercial	$2,105.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,263.30
Rate for Payer: Oxford Commercial	$842.20
Rate for Payer: Qualcare PPO/HMO/WC	$631.65
Rate for Payer: UnitedHealthcare Commercial	$842.20
Rate for Payer: UnitedHealthcare Community & State	$101.49
Rate for Payer: Wellpoint Medicaid Managed Care	$111.59

PUNCH KOFLER HAJEK

Facility

$4,211.00

Hospital Charge Code	270689937
Hospital Revenue Code	272
Min. Negotiated Rate	$631.65
Max. Negotiated Rate	$631.65
Rate for Payer: Qualcare PPO/HMO/WC	$631.65

PUNCH ROTARY LEFT 3.4 90 DEG

Facility

$4,541.70

Hospital Charge Code	270665790
Hospital Revenue Code	270
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$2,270.85
Rate for Payer: Aetna Commercial	$1,725.85
Rate for Payer: Aetna Medicare Advantage	$1,362.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,158.13
Rate for Payer: Cigna Commercial	$2,270.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,362.51
Rate for Payer: Oxford Commercial	$908.34
Rate for Payer: Qualcare PPO/HMO/WC	$681.25
Rate for Payer: UnitedHealthcare Commercial	$908.34
Rate for Payer: UnitedHealthcare Community & State	$109.45
Rate for Payer: Wellpoint Medicaid Managed Care	$120.36

PUNCH ROTARY LEFT 3.4 90 DEG

Facility

$4,541.70

Hospital Charge Code	270665790
Hospital Revenue Code	270
Min. Negotiated Rate	$681.25
Max. Negotiated Rate	$681.25
Rate for Payer: Qualcare PPO/HMO/WC	$681.25

PUNCH UP BITE 15 3.4 MM

Facility

$3,936.15

Hospital Charge Code	270681794
Hospital Revenue Code	272
Min. Negotiated Rate	$94.86
Max. Negotiated Rate	$1,968.08
Rate for Payer: Aetna Commercial	$1,495.74
Rate for Payer: Aetna Medicare Advantage	$1,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,003.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,003.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,003.72
Rate for Payer: Cigna Commercial	$1,968.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,180.85
Rate for Payer: Oxford Commercial	$787.23
Rate for Payer: Qualcare PPO/HMO/WC	$590.42
Rate for Payer: UnitedHealthcare Commercial	$787.23
Rate for Payer: UnitedHealthcare Community & State	$94.86
Rate for Payer: Wellpoint Medicaid Managed Care	$104.31

PUNCH UP BITE 15 3.4 MM

Facility

$3,936.15

Hospital Charge Code	270681794
Hospital Revenue Code	272
Min. Negotiated Rate	$590.42
Max. Negotiated Rate	$590.42
Rate for Payer: Qualcare PPO/HMO/WC	$590.42

PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,141.35

Service Code	HCPCS 10160
Hospital Charge Code	2101194
Hospital Revenue Code	361
Min. Negotiated Rate	$27.51
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.40
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.20
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$27.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

PUNCT ASP ABSCES/HEM/BULLA/

Facility

$1,141.35

Service Code	HCPCS 10160
Hospital Charge Code	2101194
Hospital Revenue Code	361
Min. Negotiated Rate	$171.20
Max. Negotiated Rate	$171.20
Rate for Payer: Qualcare PPO/HMO/WC	$171.20

Know your out-of-pocket cost for care.

All Charges