Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCISSORS IRIS STRAIGHT

Facility

$2,301.20

Hospital Charge Code	270658502
Hospital Revenue Code	272
Min. Negotiated Rate	$55.46
Max. Negotiated Rate	$1,150.60
Rate for Payer: Aetna Commercial	$874.46
Rate for Payer: Aetna Medicare Advantage	$690.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$586.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$586.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$586.81
Rate for Payer: Cigna Commercial	$1,150.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$690.36
Rate for Payer: Oxford Commercial	$460.24
Rate for Payer: Qualcare PPO/HMO/WC	$345.18
Rate for Payer: UnitedHealthcare Commercial	$460.24
Rate for Payer: UnitedHealthcare Community & State	$55.46
Rate for Payer: Wellpoint Medicaid Managed Care	$60.98

SCISSORS SUPER CUT MAYO CURVED

Facility

$475.00

Hospital Charge Code	270665574
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

SCISSORS SUPER CUT MAYO CURVED

Facility

$475.00

Hospital Charge Code	270665574
Hospital Revenue Code	272
Min. Negotiated Rate	$11.45
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.50
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$95.00
Rate for Payer: UnitedHealthcare Community & State	$11.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

SCISSORS TENOTOMY CURVED 4.5

Facility

$354.55

Hospital Charge Code	270617649
Hospital Revenue Code	278
Min. Negotiated Rate	$8.54
Max. Negotiated Rate	$177.28
Rate for Payer: Aetna Commercial	$134.73
Rate for Payer: Aetna Medicare Advantage	$106.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.41
Rate for Payer: Cigna Commercial	$177.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$53.18
Rate for Payer: UnitedHealthcare Community & State	$8.54
Rate for Payer: Wellpoint Medicaid Managed Care	$9.40

SCISSORS TENOTOMY CURVED 4.5

Facility

$354.55

Hospital Charge Code	270617649
Hospital Revenue Code	278
Min. Negotiated Rate	$53.18
Max. Negotiated Rate	$85.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$53.18

SCISSOR SUPER 5 1/2 IN

Facility

$377.20

Hospital Charge Code	270688818
Hospital Revenue Code	272
Min. Negotiated Rate	$56.58
Max. Negotiated Rate	$56.58
Rate for Payer: Qualcare PPO/HMO/WC	$56.58

SCISSOR SUPER 5 1/2 IN

Facility

$377.20

Hospital Charge Code	270688818
Hospital Revenue Code	272
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$188.60
Rate for Payer: Aetna Commercial	$143.34
Rate for Payer: Aetna Medicare Advantage	$113.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.19
Rate for Payer: Cigna Commercial	$188.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.16
Rate for Payer: Oxford Commercial	$75.44
Rate for Payer: Qualcare PPO/HMO/WC	$56.58
Rate for Payer: UnitedHealthcare Commercial	$75.44
Rate for Payer: UnitedHealthcare Community & State	$9.09
Rate for Payer: Wellpoint Medicaid Managed Care	$10.00

SCISSORS VANESS ANGLED 7MM CAP

Facility

$1,483.35

Hospital Charge Code	270683687
Hospital Revenue Code	272
Min. Negotiated Rate	$35.75
Max. Negotiated Rate	$741.67
Rate for Payer: Aetna Commercial	$563.67
Rate for Payer: Aetna Medicare Advantage	$445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.25
Rate for Payer: Cigna Commercial	$741.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.00
Rate for Payer: Oxford Commercial	$296.67
Rate for Payer: Qualcare PPO/HMO/WC	$222.50
Rate for Payer: UnitedHealthcare Commercial	$296.67
Rate for Payer: UnitedHealthcare Community & State	$35.75
Rate for Payer: Wellpoint Medicaid Managed Care	$39.31

SCISSORS VANESS ANGLED 7MM CAP

Facility

$1,483.35

Hospital Charge Code	270683687
Hospital Revenue Code	272
Min. Negotiated Rate	$222.50
Max. Negotiated Rate	$222.50
Rate for Payer: Qualcare PPO/HMO/WC	$222.50

SCISSOR WEIL BLAKESLEY THURCUT

Facility

$3,280.45

Hospital Charge Code	270689940
Hospital Revenue Code	272
Min. Negotiated Rate	$492.07
Max. Negotiated Rate	$492.07
Rate for Payer: Qualcare PPO/HMO/WC	$492.07

SCISSOR WEIL BLAKESLEY THURCUT

Facility

$3,280.45

Hospital Charge Code	270689940
Hospital Revenue Code	272
Min. Negotiated Rate	$79.06
Max. Negotiated Rate	$1,640.22
Rate for Payer: Aetna Commercial	$1,246.57
Rate for Payer: Aetna Medicare Advantage	$984.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$836.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$836.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$836.51
Rate for Payer: Cigna Commercial	$1,640.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$984.13
Rate for Payer: Oxford Commercial	$656.09
Rate for Payer: Qualcare PPO/HMO/WC	$492.07
Rate for Payer: UnitedHealthcare Commercial	$656.09
Rate for Payer: UnitedHealthcare Community & State	$79.06
Rate for Payer: Wellpoint Medicaid Managed Care	$86.93

SCL-70 AB,ID

Facility

$390.00

Service Code	HCPCS 86235
Hospital Charge Code	39900202
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$48.77
Rate for Payer: Aetna Medicare Advantage	$58.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.72
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$17.93
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.93
Rate for Payer: Wellcare Medicare Advantage	$17.93
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

SCL-70 AB,ID

Facility

$390.00

Service Code	HCPCS 86235
Hospital Charge Code	39900202
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

SCLERODERMA AB

Facility

$489.00

Service Code	HCPCS 86235
Hospital Charge Code	38476043
Hospital Revenue Code	302
Min. Negotiated Rate	$12.96
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$48.77
Rate for Payer: Aetna Medicare Advantage	$58.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.72
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: Cigna Medicare Advantage	$17.93
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.93
Rate for Payer: Wellcare Medicare Advantage	$17.93
Rate for Payer: Wellpoint Medicaid Managed Care	$12.96

SCLERODERMA AB

Facility

$489.00

Service Code	HCPCS 86235
Hospital Charge Code	38476043
Hospital Revenue Code	302
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$73.35
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

SCLERODERMA-SCL70 AB ENA

Facility

$143.99

Service Code	HCPCS 86235
Hospital Charge Code	3008273
Hospital Revenue Code	302
Min. Negotiated Rate	$3.82
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$48.77
Rate for Payer: Aetna Medicare Advantage	$58.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: Cigna Medicare Advantage	$17.93
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.93
Rate for Payer: Wellcare Medicare Advantage	$17.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.82

SCLERODERMA-SCL70 AB ENA

Facility

$143.99

Service Code	HCPCS 86235
Hospital Charge Code	3008273
Hospital Revenue Code	302
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

SCLEROTHERAPY***

Facility

$439.00

Hospital Charge Code	2300390
Hospital Revenue Code	759
Min. Negotiated Rate	$65.85
Max. Negotiated Rate	$65.85
Rate for Payer: Qualcare PPO/HMO/WC	$65.85

SCLEROTHERAPY***

Facility

$439.00

Hospital Charge Code	2300390
Hospital Revenue Code	759
Min. Negotiated Rate	$10.58
Max. Negotiated Rate	$219.50
Rate for Payer: Aetna Commercial	$166.82
Rate for Payer: Aetna Medicare Advantage	$131.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.94
Rate for Payer: Cigna Commercial	$219.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.70
Rate for Payer: Qualcare PPO/HMO/WC	$65.85
Rate for Payer: UnitedHealthcare Community & State	$10.58
Rate for Payer: Wellpoint Medicaid Managed Care	$11.63

SCLEROTHERAPY NEEDLE 23GA 4MN

Facility

$294.00

Hospital Charge Code	270330649
Hospital Revenue Code	272
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$147.00
Rate for Payer: Aetna Commercial	$111.72
Rate for Payer: Aetna Medicare Advantage	$88.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.97
Rate for Payer: Cigna Commercial	$147.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.20
Rate for Payer: Oxford Commercial	$58.80
Rate for Payer: Qualcare PPO/HMO/WC	$44.10
Rate for Payer: UnitedHealthcare Commercial	$58.80
Rate for Payer: UnitedHealthcare Community & State	$7.09
Rate for Payer: Wellpoint Medicaid Managed Care	$7.79

SCLEROTHERAPY NEEDLE 23GA 4MN

Facility

$294.00

Hospital Charge Code	270330649
Hospital Revenue Code	272
Min. Negotiated Rate	$44.10
Max. Negotiated Rate	$44.10
Rate for Payer: Qualcare PPO/HMO/WC	$44.10

SCLEROTX FLUID COLLECTION

Facility

$2,714.04

Service Code	HCPCS 49185
Hospital Charge Code	16000751
Hospital Revenue Code	360
Min. Negotiated Rate	$65.41
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$814.21
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$407.11
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$65.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$71.92

SCLEROTX FLUID COLLECTION

Facility

$2,714.04

Service Code	HCPCS 49185
Hospital Charge Code	16000751
Hospital Revenue Code	360
Min. Negotiated Rate	$407.11
Max. Negotiated Rate	$407.11
Rate for Payer: Qualcare PPO/HMO/WC	$407.11

SCLEROTX FLUID COLLECT PRQ W/I

Facility

$3,574.55

Service Code	HCPCS 49185
Hospital Charge Code	404649185
Hospital Revenue Code	361
Min. Negotiated Rate	$86.15
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,072.37
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$536.18
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$86.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$94.73

SCLEROTX FLUID COLLECT PRQ W/I

Facility

$3,574.55

Service Code	HCPCS 49185
Hospital Charge Code	404649185
Hospital Revenue Code	361
Min. Negotiated Rate	$536.18
Max. Negotiated Rate	$536.18
Rate for Payer: Qualcare PPO/HMO/WC	$536.18

Know your out-of-pocket cost for care.

All Charges