Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

RESTORIS MCK UNI ONLAY PLOY PR

Facility

$23,980.00

Hospital Charge Code	270668063
Hospital Revenue Code	278
Min. Negotiated Rate	$577.92
Max. Negotiated Rate	$11,990.00
Rate for Payer: Aetna Commercial	$9,112.40
Rate for Payer: Aetna Medicare Advantage	$7,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,114.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,114.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,796.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,114.90
Rate for Payer: Cigna Commercial	$11,990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,803.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,275.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,597.00
Rate for Payer: UnitedHealthcare Community & State	$577.92
Rate for Payer: Wellpoint Medicaid Managed Care	$635.47

RESTORIS MCK UNI ONLAY PLOY PR

Facility

$23,980.00

Hospital Charge Code	270668063
Hospital Revenue Code	278
Min. Negotiated Rate	$3,597.00
Max. Negotiated Rate	$5,803.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,796.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,803.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,275.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,597.00

RESTORIS MCK UNI ONLAY PLOY ST

Facility

$22,480.00

Hospital Charge Code	270668062
Hospital Revenue Code	278
Min. Negotiated Rate	$541.77
Max. Negotiated Rate	$11,240.00
Rate for Payer: Aetna Commercial	$8,542.40
Rate for Payer: Aetna Medicare Advantage	$6,744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,732.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,732.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,732.40
Rate for Payer: Cigna Commercial	$11,240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,440.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,945.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,372.00
Rate for Payer: UnitedHealthcare Community & State	$541.77
Rate for Payer: Wellpoint Medicaid Managed Care	$595.72

RESTORIS MCK UNI ONLAY PLOY ST

Facility

$22,480.00

Hospital Charge Code	270668062
Hospital Revenue Code	278
Min. Negotiated Rate	$3,372.00
Max. Negotiated Rate	$5,440.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,440.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,945.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,372.00

RESTORIS PF CONSUMABLES

Facility

$3,415.00

Hospital Charge Code	270668071
Hospital Revenue Code	278
Min. Negotiated Rate	$82.30
Max. Negotiated Rate	$1,707.50
Rate for Payer: Aetna Commercial	$1,297.70
Rate for Payer: Aetna Medicare Advantage	$1,024.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$870.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$870.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$683.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$870.83
Rate for Payer: Cigna Commercial	$1,707.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$751.30
Rate for Payer: Qualcare PPO/HMO/WC	$512.25
Rate for Payer: UnitedHealthcare Community & State	$82.30
Rate for Payer: Wellpoint Medicaid Managed Care	$90.50

RESTORIS PF CONSUMABLES

Facility

$3,415.00

Hospital Charge Code	270668071
Hospital Revenue Code	278
Min. Negotiated Rate	$512.25
Max. Negotiated Rate	$826.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$683.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$751.30
Rate for Payer: Qualcare PPO/HMO/WC	$512.25

RESTORIS PST CERAMIC HEAD

Facility

$28,425.00

Hospital Charge Code	270668069
Hospital Revenue Code	278
Min. Negotiated Rate	$685.04
Max. Negotiated Rate	$14,212.50
Rate for Payer: Aetna Commercial	$10,801.50
Rate for Payer: Aetna Medicare Advantage	$8,527.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,248.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,248.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,685.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,248.38
Rate for Payer: Cigna Commercial	$14,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,878.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,253.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,263.75
Rate for Payer: UnitedHealthcare Community & State	$685.04
Rate for Payer: Wellpoint Medicaid Managed Care	$753.26

RESTORIS PST CERAMIC HEAD

Facility

$28,425.00

Hospital Charge Code	270668069
Hospital Revenue Code	278
Min. Negotiated Rate	$4,263.75
Max. Negotiated Rate	$6,878.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,878.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,253.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,263.75

RESTORIS PST METAL HEAD

Facility

$25,615.00

Hospital Charge Code	270668068
Hospital Revenue Code	278
Min. Negotiated Rate	$3,842.25
Max. Negotiated Rate	$6,198.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,198.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,635.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,842.25

RESTORIS PST METAL HEAD

Facility

$25,615.00

Hospital Charge Code	270668068
Hospital Revenue Code	278
Min. Negotiated Rate	$617.32
Max. Negotiated Rate	$12,807.50
Rate for Payer: Aetna Commercial	$9,733.70
Rate for Payer: Aetna Medicare Advantage	$7,684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,531.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,531.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,123.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,531.82
Rate for Payer: Cigna Commercial	$12,807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,198.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,635.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,842.25
Rate for Payer: UnitedHealthcare Community & State	$617.32
Rate for Payer: Wellpoint Medicaid Managed Care	$678.80

RESTRAINT BEACH CHAIR HEAD

Facility

$995.00

Hospital Charge Code	270648817
Hospital Revenue Code	271
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$149.25
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

RESTRAINT BEACH CHAIR HEAD

Facility

$995.00

Hospital Charge Code	270648817
Hospital Revenue Code	271
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.50
Rate for Payer: Oxford Commercial	$199.00
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Commercial	$199.00
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.37

RESTRAINT DISP LIMB HO 301035A

Facility

$11.00

Hospital Charge Code	270301035A
Hospital Revenue Code	270
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

RESTRAINT DISP LIMB HO 301035A

Facility

$11.00

Hospital Charge Code	270301035A
Hospital Revenue Code	270
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

RESTRAINT DISP LIMB HOLDER

Facility

$23.00

Hospital Charge Code	270301035
Hospital Revenue Code	270
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$8.74
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Oxford Commercial	$4.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$4.60
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

RESTRAINT DISP LIMB HOLDER

Facility

$23.00

Hospital Charge Code	270301035
Hospital Revenue Code	270
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

RESTRAINT ROLL BELT

Facility

$83.25

Hospital Charge Code	270301060
Hospital Revenue Code	270
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$12.49
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

RESTRAINT ROLL BELT

Facility

$83.25

Hospital Charge Code	270301060
Hospital Revenue Code	270
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$31.64
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.98
Rate for Payer: Oxford Commercial	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$12.49
Rate for Payer: UnitedHealthcare Commercial	$16.65
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.21

RESTRAINT SPLINT FREEDOM LG

Facility

$94.45

Hospital Charge Code	270301075
Hospital Revenue Code	270
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$47.23
Rate for Payer: Aetna Commercial	$35.89
Rate for Payer: Aetna Medicare Advantage	$28.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.08
Rate for Payer: Cigna Commercial	$47.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$18.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.17
Rate for Payer: UnitedHealthcare Commercial	$18.89
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.50

RESTRAINT SPLINT FREEDOM LG

Facility

$94.45

Hospital Charge Code	270301075
Hospital Revenue Code	270
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.17

RESTRAINT SPLINT FREEDOM MED

Facility

$64.85

Hospital Charge Code	270301070
Hospital Revenue Code	270
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$9.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

RESTRAINT SPLINT FREEDOM MED

Facility

$64.85

Hospital Charge Code	270301070
Hospital Revenue Code	270
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$32.42
Rate for Payer: Aetna Commercial	$24.64
Rate for Payer: Aetna Medicare Advantage	$19.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.54
Rate for Payer: Cigna Commercial	$32.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.45
Rate for Payer: Oxford Commercial	$12.97
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Commercial	$12.97
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

RESTRAINT SPLINT FREEDOM SM

Facility

$94.45

Hospital Charge Code	270301065
Hospital Revenue Code	270
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.17

RESTRAINT SPLINT FREEDOM SM

Facility

$94.45

Hospital Charge Code	270301065
Hospital Revenue Code	270
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$47.23
Rate for Payer: Aetna Commercial	$35.89
Rate for Payer: Aetna Medicare Advantage	$28.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.08
Rate for Payer: Cigna Commercial	$47.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$18.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.17
Rate for Payer: UnitedHealthcare Commercial	$18.89
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.50

RESTRAINT TIEBACK VEST LG

Facility

$82.50

Hospital Charge Code	270301050
Hospital Revenue Code	270
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$41.25
Rate for Payer: Aetna Commercial	$31.35
Rate for Payer: Aetna Medicare Advantage	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.04
Rate for Payer: Cigna Commercial	$41.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.75
Rate for Payer: Oxford Commercial	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.38
Rate for Payer: UnitedHealthcare Commercial	$16.50
Rate for Payer: UnitedHealthcare Community & State	$1.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.19

Know your out-of-pocket cost for care.

All Charges