Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

RING DPY COMP MED 8 FC10029

Facility

$3,035.25

Hospital Charge Code	270612488
Hospital Revenue Code	272
Min. Negotiated Rate	$73.15
Max. Negotiated Rate	$1,517.62
Rate for Payer: Aetna Commercial	$1,153.39
Rate for Payer: Aetna Medicare Advantage	$910.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$773.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$773.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$773.99
Rate for Payer: Cigna Commercial	$1,517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$910.58
Rate for Payer: Oxford Commercial	$607.05
Rate for Payer: Qualcare PPO/HMO/WC	$455.29
Rate for Payer: UnitedHealthcare Commercial	$607.05
Rate for Payer: UnitedHealthcare Community & State	$73.15
Rate for Payer: Wellpoint Medicaid Managed Care	$80.43

RING ENEMA FLUID COLLECTION

Facility

$35.15

Hospital Charge Code	270601325
Hospital Revenue Code	270
Min. Negotiated Rate	$5.27
Max. Negotiated Rate	$5.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.27

RING ENEMA FLUID COLLECTION

Facility

$35.15

Hospital Charge Code	270601325
Hospital Revenue Code	270
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$17.57
Rate for Payer: Aetna Commercial	$13.36
Rate for Payer: Aetna Medicare Advantage	$10.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.96
Rate for Payer: Cigna Commercial	$17.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.54
Rate for Payer: Oxford Commercial	$7.03
Rate for Payer: Qualcare PPO/HMO/WC	$5.27
Rate for Payer: UnitedHealthcare Commercial	$7.03
Rate for Payer: UnitedHealthcare Community & State	$0.85
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

RINGERS LACTATE 1000ML

Facility

$16.48

Hospital Charge Code	270040175
Hospital Revenue Code	258
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.24
Rate for Payer: Aetna Commercial	$6.26
Rate for Payer: Aetna Medicare Advantage	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.20
Rate for Payer: Cigna Commercial	$8.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.94
Rate for Payer: Oxford Commercial	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$2.47
Rate for Payer: UnitedHealthcare Commercial	$3.30
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

RINGERS LACTATE 1000ML

Facility

$16.48

Hospital Charge Code	270040175
Hospital Revenue Code	258
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.47

RINGERS LACTATE 1000ML*****

Facility

$6.00

Hospital Charge Code	7000318
Hospital Revenue Code	258
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

RINGERS LACTATE 1000ML*****

Facility

$6.00

Hospital Charge Code	7000318
Hospital Revenue Code	258
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

RINGERS LACTATED INJ 500ml

Facility

$22.50

Hospital Charge Code	270649495
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$11.25
Rate for Payer: Aetna Commercial	$8.55
Rate for Payer: Aetna Medicare Advantage	$6.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.74
Rate for Payer: Cigna Commercial	$11.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.75
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.38
Rate for Payer: UnitedHealthcare Commercial	$4.50
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.60

RINGERS LACTATED INJ 500ml

Facility

$22.50

Hospital Charge Code	270649495
Hospital Revenue Code	272
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$3.38
Rate for Payer: Qualcare PPO/HMO/WC	$3.38

RINGERS LACTATE INJ 1000ml

Facility

$5.09

Hospital Charge Code	270649590
Hospital Revenue Code	258
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.54
Rate for Payer: Aetna Commercial	$1.93
Rate for Payer: Aetna Medicare Advantage	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.30
Rate for Payer: Cigna Commercial	$2.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.53
Rate for Payer: Oxford Commercial	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$0.76
Rate for Payer: UnitedHealthcare Commercial	$1.02
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

RINGERS LACTATE INJ 1000ml

Facility

$5.09

Hospital Charge Code	270649590
Hospital Revenue Code	258
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Qualcare PPO/HMO/WC	$0.76

RINGERS LACTATE IRRIGAT

Facility

$47.25

Hospital Charge Code	270040101
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$23.62
Rate for Payer: Aetna Commercial	$17.95
Rate for Payer: Aetna Medicare Advantage	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.05
Rate for Payer: Cigna Commercial	$23.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.18
Rate for Payer: Oxford Commercial	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.09
Rate for Payer: UnitedHealthcare Commercial	$9.45
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

RINGERS LACTATE IRRIGAT

Facility

$47.25

Hospital Charge Code	270040101
Hospital Revenue Code	272
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

RING FALLOPE TUBAL OCCLUSN DEV

Facility

$435.00

Hospital Charge Code	270653340
Hospital Revenue Code	278
Min. Negotiated Rate	$10.48
Max. Negotiated Rate	$217.50
Rate for Payer: Aetna Commercial	$165.30
Rate for Payer: Aetna Medicare Advantage	$130.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.92
Rate for Payer: Cigna Commercial	$217.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.70
Rate for Payer: Qualcare PPO/HMO/WC	$65.25
Rate for Payer: UnitedHealthcare Community & State	$10.48
Rate for Payer: Wellpoint Medicaid Managed Care	$11.53

RING FALLOPE TUBAL OCCLUSN DEV

Facility

$435.00

Hospital Charge Code	270653340
Hospital Revenue Code	278
Min. Negotiated Rate	$65.25
Max. Negotiated Rate	$105.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.70
Rate for Payer: Qualcare PPO/HMO/WC	$65.25

RING FOAM INVALID MED 16

Facility

$65.50

Hospital Charge Code	270649737
Hospital Revenue Code	270
Min. Negotiated Rate	$9.82
Max. Negotiated Rate	$9.82
Rate for Payer: Qualcare PPO/HMO/WC	$9.82

RING FOAM INVALID MED 16

Facility

$65.50

Hospital Charge Code	270649737
Hospital Revenue Code	270
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.75
Rate for Payer: Aetna Commercial	$24.89
Rate for Payer: Aetna Medicare Advantage	$19.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.70
Rate for Payer: Cigna Commercial	$32.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.65
Rate for Payer: Oxford Commercial	$13.10
Rate for Payer: Qualcare PPO/HMO/WC	$9.82
Rate for Payer: UnitedHealthcare Commercial	$13.10
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

RING FOOT CARB FIBER 160MM LNG

Facility

$3,534.95

Hospital Charge Code	270678081
Hospital Revenue Code	272
Min. Negotiated Rate	$530.24
Max. Negotiated Rate	$530.24
Rate for Payer: Qualcare PPO/HMO/WC	$530.24

RING FOOT CARB FIBER 160MM LNG

Facility

$3,534.95

Hospital Charge Code	270678081
Hospital Revenue Code	272
Min. Negotiated Rate	$85.19
Max. Negotiated Rate	$1,767.47
Rate for Payer: Aetna Commercial	$1,343.28
Rate for Payer: Aetna Medicare Advantage	$1,060.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$901.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$901.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$901.41
Rate for Payer: Cigna Commercial	$1,767.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,060.48
Rate for Payer: Oxford Commercial	$706.99
Rate for Payer: Qualcare PPO/HMO/WC	$530.24
Rate for Payer: UnitedHealthcare Commercial	$706.99
Rate for Payer: UnitedHealthcare Community & State	$85.19
Rate for Payer: Wellpoint Medicaid Managed Care	$93.68

RING FOOT SHORT SALVATION

Facility

$4,185.00

Hospital Charge Code	270684449
Hospital Revenue Code	272
Min. Negotiated Rate	$627.75
Max. Negotiated Rate	$627.75
Rate for Payer: Qualcare PPO/HMO/WC	$627.75

RING FOOT SHORT SALVATION

Facility

$4,185.00

Hospital Charge Code	270684449
Hospital Revenue Code	272
Min. Negotiated Rate	$100.86
Max. Negotiated Rate	$2,092.50
Rate for Payer: Aetna Commercial	$1,590.30
Rate for Payer: Aetna Medicare Advantage	$1,255.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,067.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,067.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,067.17
Rate for Payer: Cigna Commercial	$2,092.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,255.50
Rate for Payer: Oxford Commercial	$837.00
Rate for Payer: Qualcare PPO/HMO/WC	$627.75
Rate for Payer: UnitedHealthcare Commercial	$837.00
Rate for Payer: UnitedHealthcare Community & State	$100.86
Rate for Payer: Wellpoint Medicaid Managed Care	$110.90

RING G7 HARD BEARING SZ G

Facility

$1,150.00

Service Code	HCPCS C1776
Hospital Charge Code	270695265
Hospital Revenue Code	278
Min. Negotiated Rate	$172.50
Max. Negotiated Rate	$278.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.50

RING G7 HARD BEARING SZ G

Facility

$1,150.00

Service Code	HCPCS C1776
Hospital Charge Code	270695265
Hospital Revenue Code	278
Min. Negotiated Rate	$27.71
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$437.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.50
Rate for Payer: UnitedHealthcare Community & State	$27.71
Rate for Payer: Wellpoint Medicaid Managed Care	$30.48

RING HALF CARBON FIBER 180MM

Facility

$2,660.50

Hospital Charge Code	270678082
Hospital Revenue Code	272
Min. Negotiated Rate	$64.12
Max. Negotiated Rate	$1,330.25
Rate for Payer: Aetna Commercial	$1,010.99
Rate for Payer: Aetna Medicare Advantage	$798.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$678.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$678.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$678.43
Rate for Payer: Cigna Commercial	$1,330.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.15
Rate for Payer: Oxford Commercial	$532.10
Rate for Payer: Qualcare PPO/HMO/WC	$399.07
Rate for Payer: UnitedHealthcare Commercial	$532.10
Rate for Payer: UnitedHealthcare Community & State	$64.12
Rate for Payer: Wellpoint Medicaid Managed Care	$70.50

RING HALF CARBON FIBER 180MM

Facility

$2,660.50

Hospital Charge Code	270678082
Hospital Revenue Code	272
Min. Negotiated Rate	$399.07
Max. Negotiated Rate	$399.07
Rate for Payer: Qualcare PPO/HMO/WC	$399.07

Know your out-of-pocket cost for care.

All Charges