Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

QUICKSET 16CC

Facility

$14,962.50

Hospital Charge Code	270667209
Hospital Revenue Code	272
Min. Negotiated Rate	$2,244.38
Max. Negotiated Rate	$2,244.38
Rate for Payer: Qualcare PPO/HMO/WC	$2,244.38

QUICK SET CEMENT 5CC

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681315
Hospital Revenue Code	278
Min. Negotiated Rate	$1,155.00
Max. Negotiated Rate	$1,863.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,863.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,155.00

QUICK SET CEMENT 5CC

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681315
Hospital Revenue Code	278
Min. Negotiated Rate	$185.57
Max. Negotiated Rate	$3,850.00
Rate for Payer: Aetna Commercial	$2,926.00
Rate for Payer: Aetna Medicare Advantage	$2,310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,963.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,963.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,963.50
Rate for Payer: Cigna Commercial	$3,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,863.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,155.00
Rate for Payer: UnitedHealthcare Community & State	$185.57
Rate for Payer: Wellpoint Medicaid Managed Care	$204.05

QUICKSET KIT

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270675562
Hospital Revenue Code	278
Min. Negotiated Rate	$240.40
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,194.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Community & State	$240.40
Rate for Payer: Wellpoint Medicaid Managed Care	$264.34

QUICKSET KIT

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270681322
Hospital Revenue Code	278
Min. Negotiated Rate	$240.40
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,194.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Community & State	$240.40
Rate for Payer: Wellpoint Medicaid Managed Care	$264.34

QUICKSET KIT

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270681322
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,194.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

QUICKSET KIT

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681350
Hospital Revenue Code	278
Min. Negotiated Rate	$185.57
Max. Negotiated Rate	$3,850.00
Rate for Payer: Aetna Commercial	$2,926.00
Rate for Payer: Aetna Medicare Advantage	$2,310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,963.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,963.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,963.50
Rate for Payer: Cigna Commercial	$3,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,863.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,155.00
Rate for Payer: UnitedHealthcare Community & State	$185.57
Rate for Payer: Wellpoint Medicaid Managed Care	$204.05

QUICKSET KIT

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270675562
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,194.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

QUICKSET KIT

Facility

$7,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270681350
Hospital Revenue Code	278
Min. Negotiated Rate	$1,155.00
Max. Negotiated Rate	$1,863.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,863.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,694.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,155.00

QUICKTRACH

Facility

$712.45

Hospital Charge Code	270680585
Hospital Revenue Code	272
Min. Negotiated Rate	$106.87
Max. Negotiated Rate	$106.87
Rate for Payer: Qualcare PPO/HMO/WC	$106.87

QUICKTRACH

Facility

$712.45

Hospital Charge Code	270680585
Hospital Revenue Code	272
Min. Negotiated Rate	$17.17
Max. Negotiated Rate	$356.23
Rate for Payer: Aetna Commercial	$270.73
Rate for Payer: Aetna Medicare Advantage	$213.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.67
Rate for Payer: Cigna Commercial	$356.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.74
Rate for Payer: Oxford Commercial	$142.49
Rate for Payer: Qualcare PPO/HMO/WC	$106.87
Rate for Payer: UnitedHealthcare Commercial	$142.49
Rate for Payer: UnitedHealthcare Community & State	$17.17
Rate for Payer: Wellpoint Medicaid Managed Care	$18.88

QUICKTRACH KIT 2.0MM

Facility

$930.05

Hospital Charge Code	270692860
Hospital Revenue Code	272
Min. Negotiated Rate	$139.51
Max. Negotiated Rate	$139.51
Rate for Payer: Qualcare PPO/HMO/WC	$139.51

QUICKTRACH KIT 2.0MM

Facility

$930.05

Hospital Charge Code	270692860
Hospital Revenue Code	272
Min. Negotiated Rate	$22.41
Max. Negotiated Rate	$465.02
Rate for Payer: Aetna Commercial	$353.42
Rate for Payer: Aetna Medicare Advantage	$279.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.16
Rate for Payer: Cigna Commercial	$465.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.01
Rate for Payer: Oxford Commercial	$186.01
Rate for Payer: Qualcare PPO/HMO/WC	$139.51
Rate for Payer: UnitedHealthcare Commercial	$186.01
Rate for Payer: UnitedHealthcare Community & State	$22.41
Rate for Payer: Wellpoint Medicaid Managed Care	$24.65

QUICK-VAC MIXING BOWL SINGLE

Facility

$11,630.00

Hospital Charge Code	270657073
Hospital Revenue Code	270
Min. Negotiated Rate	$280.28
Max. Negotiated Rate	$5,815.00
Rate for Payer: Aetna Commercial	$4,419.40
Rate for Payer: Aetna Medicare Advantage	$3,489.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,965.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,965.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,965.65
Rate for Payer: Cigna Commercial	$5,815.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,489.00
Rate for Payer: Oxford Commercial	$2,326.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,744.50
Rate for Payer: UnitedHealthcare Commercial	$2,326.00
Rate for Payer: UnitedHealthcare Community & State	$280.28
Rate for Payer: Wellpoint Medicaid Managed Care	$308.19

QUICK-VAC MIXING BOWL SINGLE

Facility

$11,630.00

Hospital Charge Code	270657073
Hospital Revenue Code	270
Min. Negotiated Rate	$1,744.50
Max. Negotiated Rate	$1,744.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,744.50

QUICKWHIP SUTURE

Facility

$405.00

Hospital Charge Code	270678190
Hospital Revenue Code	272
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$60.75
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

QUICKWHIP SUTURE

Facility

$405.00

Hospital Charge Code	270678190
Hospital Revenue Code	272
Min. Negotiated Rate	$9.76
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.50
Rate for Payer: Oxford Commercial	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Commercial	$81.00
Rate for Payer: UnitedHealthcare Community & State	$9.76
Rate for Payer: Wellpoint Medicaid Managed Care	$10.73

QUIDEWIRE STRY 3 800 0080S

Facility

$544.85

Hospital Charge Code	270627181
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.43
Rate for Payer: Aetna Commercial	$207.04
Rate for Payer: Aetna Medicare Advantage	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.94
Rate for Payer: Cigna Commercial	$272.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.46
Rate for Payer: Oxford Commercial	$108.97
Rate for Payer: Qualcare PPO/HMO/WC	$81.73
Rate for Payer: UnitedHealthcare Commercial	$108.97
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

QUIDEWIRE STRY 3 800 0080S

Facility

$544.85

Hospital Charge Code	270627181
Hospital Revenue Code	272
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$81.73
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

QUIET BIG FOOT FLUID MANAGEMEN

Facility

$55.00

Hospital Charge Code	270679630
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

QUIET BIG FOOT FLUID MANAGEMEN

Facility

$55.00

Hospital Charge Code	270679630
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

QUIK-CATH CATHETER W/LUER

Facility

$11.00

Hospital Charge Code	270331738
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

QUIK-CATH CATHETER W/LUER

Facility

$11.00

Hospital Charge Code	270331738
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$4.18
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.30
Rate for Payer: Oxford Commercial	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$2.20
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

QUINAGLUTE/324MG/TAB

Facility

$3.00

Hospital Charge Code	60633798
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

QUINAGLUTE/324MG/TAB

Facility

$3.00

Hospital Charge Code	60633798
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

Know your out-of-pocket cost for care.

All Charges