Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

RELOAD LINEAR CUTTER STAP 55MM

Facility

$94.00

Hospital Charge Code	270338691
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.20
Rate for Payer: Oxford Commercial	$18.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$18.80
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

RELOAD LINEAR STAPLER 90MM

Facility

$120.00

Hospital Charge Code	270338706
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.00
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$24.00
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$3.18

RELOAD LINEAR STAPLER 90MM

Facility

$120.00

Hospital Charge Code	270338706
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

RELOAD PROXIMATE 30MM 3.5MM

Facility

$209.34

Hospital Charge Code	270658360
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$104.67
Rate for Payer: Aetna Commercial	$79.55
Rate for Payer: Aetna Medicare Advantage	$62.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.38
Rate for Payer: Cigna Commercial	$104.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.80
Rate for Payer: Oxford Commercial	$41.87
Rate for Payer: Qualcare PPO/HMO/WC	$31.40
Rate for Payer: UnitedHealthcare Commercial	$41.87
Rate for Payer: UnitedHealthcare Community & State	$5.05
Rate for Payer: Wellpoint Medicaid Managed Care	$5.55

RELOAD PROXIMATE 30MM 3.5MM

Facility

$209.34

Hospital Charge Code	270658360
Hospital Revenue Code	272
Min. Negotiated Rate	$31.40
Max. Negotiated Rate	$31.40
Rate for Payer: Qualcare PPO/HMO/WC	$31.40

RELOAD PROXIMATE 30MM 4.8MM

Facility

$204.95

Hospital Charge Code	270658359
Hospital Revenue Code	272
Min. Negotiated Rate	$30.74
Max. Negotiated Rate	$30.74
Rate for Payer: Qualcare PPO/HMO/WC	$30.74

RELOAD PROXIMATE 30MM 4.8MM

Facility

$204.95

Hospital Charge Code	270658359
Hospital Revenue Code	272
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$102.47
Rate for Payer: Aetna Commercial	$77.88
Rate for Payer: Aetna Medicare Advantage	$61.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.26
Rate for Payer: Cigna Commercial	$102.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.48
Rate for Payer: Oxford Commercial	$40.99
Rate for Payer: Qualcare PPO/HMO/WC	$30.74
Rate for Payer: UnitedHealthcare Commercial	$40.99
Rate for Payer: UnitedHealthcare Community & State	$4.94
Rate for Payer: Wellpoint Medicaid Managed Care	$5.43

RELOAD PROXIMATE 90mm

Facility

$371.68

Hospital Charge Code	270658540
Hospital Revenue Code	272
Min. Negotiated Rate	$55.75
Max. Negotiated Rate	$55.75
Rate for Payer: Qualcare PPO/HMO/WC	$55.75

RELOAD PROXIMATE 90mm

Facility

$371.68

Hospital Charge Code	270658540
Hospital Revenue Code	272
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$185.84
Rate for Payer: Aetna Commercial	$141.24
Rate for Payer: Aetna Medicare Advantage	$111.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.78
Rate for Payer: Cigna Commercial	$185.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.50
Rate for Payer: Oxford Commercial	$74.34
Rate for Payer: Qualcare PPO/HMO/WC	$55.75
Rate for Payer: UnitedHealthcare Commercial	$74.34
Rate for Payer: UnitedHealthcare Community & State	$8.96
Rate for Payer: Wellpoint Medicaid Managed Care	$9.85

RELOAD PROXIMATE CUTTER 55mm

Facility

$749.05

Hospital Charge Code	270658384
Hospital Revenue Code	272
Min. Negotiated Rate	$18.05
Max. Negotiated Rate	$374.52
Rate for Payer: Aetna Commercial	$284.64
Rate for Payer: Aetna Medicare Advantage	$224.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.01
Rate for Payer: Cigna Commercial	$374.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$224.72
Rate for Payer: Oxford Commercial	$149.81
Rate for Payer: Qualcare PPO/HMO/WC	$112.36
Rate for Payer: UnitedHealthcare Commercial	$149.81
Rate for Payer: UnitedHealthcare Community & State	$18.05
Rate for Payer: Wellpoint Medicaid Managed Care	$19.85

RELOAD PROXIMATE CUTTER 55mm

Facility

$749.05

Hospital Charge Code	270658384
Hospital Revenue Code	272
Min. Negotiated Rate	$112.36
Max. Negotiated Rate	$112.36
Rate for Payer: Qualcare PPO/HMO/WC	$112.36

RELOAD PROXIMATE VASC 30MM

Facility

$210.70

Hospital Charge Code	270658358
Hospital Revenue Code	272
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$105.35
Rate for Payer: Aetna Commercial	$80.07
Rate for Payer: Aetna Medicare Advantage	$63.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.73
Rate for Payer: Cigna Commercial	$105.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.21
Rate for Payer: Oxford Commercial	$42.14
Rate for Payer: Qualcare PPO/HMO/WC	$31.61
Rate for Payer: UnitedHealthcare Commercial	$42.14
Rate for Payer: UnitedHealthcare Community & State	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$5.58

RELOAD PROXIMATE VASC 30MM

Facility

$210.70

Hospital Charge Code	270658358
Hospital Revenue Code	272
Min. Negotiated Rate	$31.61
Max. Negotiated Rate	$31.61
Rate for Payer: Qualcare PPO/HMO/WC	$31.61

RELOAD RELIATACK ARTICULATING

Facility

$2,478.52

Hospital Charge Code	270680297
Hospital Revenue Code	272
Min. Negotiated Rate	$59.73
Max. Negotiated Rate	$1,239.26
Rate for Payer: Aetna Commercial	$941.84
Rate for Payer: Aetna Medicare Advantage	$743.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.02
Rate for Payer: Cigna Commercial	$1,239.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$743.56
Rate for Payer: Oxford Commercial	$495.70
Rate for Payer: Qualcare PPO/HMO/WC	$371.78
Rate for Payer: UnitedHealthcare Commercial	$495.70
Rate for Payer: UnitedHealthcare Community & State	$59.73
Rate for Payer: Wellpoint Medicaid Managed Care	$65.68

RELOAD RELIATACK ARTICULATING

Facility

$670.27

Hospital Charge Code	270673106
Hospital Revenue Code	272
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$335.13
Rate for Payer: Aetna Commercial	$254.70
Rate for Payer: Aetna Medicare Advantage	$201.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.92
Rate for Payer: Cigna Commercial	$335.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.08
Rate for Payer: Oxford Commercial	$134.05
Rate for Payer: Qualcare PPO/HMO/WC	$100.54
Rate for Payer: UnitedHealthcare Commercial	$134.05
Rate for Payer: UnitedHealthcare Community & State	$16.15
Rate for Payer: Wellpoint Medicaid Managed Care	$17.76

RELOAD RELIATACK ARTICULATING

Facility

$2,478.52

Hospital Charge Code	270680297
Hospital Revenue Code	272
Min. Negotiated Rate	$371.78
Max. Negotiated Rate	$371.78
Rate for Payer: Qualcare PPO/HMO/WC	$371.78

RELOAD RELIATACK ARTICULATING

Facility

$670.27

Hospital Charge Code	270673106
Hospital Revenue Code	272
Min. Negotiated Rate	$100.54
Max. Negotiated Rate	$100.54
Rate for Payer: Qualcare PPO/HMO/WC	$100.54

RELOAD SMALL SIGNIA 30MM GRAY

Facility

$3,641.40

Hospital Charge Code	270692849
Hospital Revenue Code	272
Min. Negotiated Rate	$87.76
Max. Negotiated Rate	$1,820.70
Rate for Payer: Aetna Commercial	$1,383.73
Rate for Payer: Aetna Medicare Advantage	$1,092.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$928.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$928.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$928.56
Rate for Payer: Cigna Commercial	$1,820.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,092.42
Rate for Payer: Oxford Commercial	$728.28
Rate for Payer: Qualcare PPO/HMO/WC	$546.21
Rate for Payer: UnitedHealthcare Commercial	$728.28
Rate for Payer: UnitedHealthcare Community & State	$87.76
Rate for Payer: Wellpoint Medicaid Managed Care	$96.50

RELOAD SMALL SIGNIA 30MM GRAY

Facility

$3,641.40

Hospital Charge Code	270692849
Hospital Revenue Code	272
Min. Negotiated Rate	$546.21
Max. Negotiated Rate	$546.21
Rate for Payer: Qualcare PPO/HMO/WC	$546.21

RELOAD SMALL SIGNIA 30MM WHITE

Facility

$3,695.41

Hospital Charge Code	270692848
Hospital Revenue Code	272
Min. Negotiated Rate	$89.06
Max. Negotiated Rate	$1,847.70
Rate for Payer: Aetna Commercial	$1,404.26
Rate for Payer: Aetna Medicare Advantage	$1,108.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$942.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$942.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$942.33
Rate for Payer: Cigna Commercial	$1,847.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,108.62
Rate for Payer: Oxford Commercial	$739.08
Rate for Payer: Qualcare PPO/HMO/WC	$554.31
Rate for Payer: UnitedHealthcare Commercial	$739.08
Rate for Payer: UnitedHealthcare Community & State	$89.06
Rate for Payer: Wellpoint Medicaid Managed Care	$97.93

RELOAD SMALL SIGNIA 30MM WHITE

Facility

$3,695.41

Hospital Charge Code	270692848
Hospital Revenue Code	272
Min. Negotiated Rate	$554.31
Max. Negotiated Rate	$554.31
Rate for Payer: Qualcare PPO/HMO/WC	$554.31

RELOAD SMALL SIGNIA 45MM WHITE

Facility

$3,896.66

Hospital Charge Code	270692850
Hospital Revenue Code	272
Min. Negotiated Rate	$584.50
Max. Negotiated Rate	$584.50
Rate for Payer: Qualcare PPO/HMO/WC	$584.50

RELOAD SMALL SIGNIA 45MM WHITE

Facility

$3,896.66

Hospital Charge Code	270692850
Hospital Revenue Code	272
Min. Negotiated Rate	$93.91
Max. Negotiated Rate	$1,948.33
Rate for Payer: Aetna Commercial	$1,480.73
Rate for Payer: Aetna Medicare Advantage	$1,169.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$993.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$993.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$993.65
Rate for Payer: Cigna Commercial	$1,948.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,169.00
Rate for Payer: Oxford Commercial	$779.33
Rate for Payer: Qualcare PPO/HMO/WC	$584.50
Rate for Payer: UnitedHealthcare Commercial	$779.33
Rate for Payer: UnitedHealthcare Community & State	$93.91
Rate for Payer: Wellpoint Medicaid Managed Care	$103.26

RELOAD STAPLER 30MM

Facility

$85.00

Hospital Charge Code	270338698
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

RELOAD STAPLER 30MM

Facility

$85.00

Hospital Charge Code	270338698
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

Know your out-of-pocket cost for care.

All Charges