Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SHANNON LONG 2.2X22MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270705976
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

SHANNON LONG 2.2X22MM

Facility

$1,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270705976
Hospital Revenue Code	278
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

SHARPSHOOTER SUTURE TAPE

Facility

$888.40

Hospital Charge Code	270705134
Hospital Revenue Code	279
Min. Negotiated Rate	$21.41
Max. Negotiated Rate	$444.20
Rate for Payer: Aetna Commercial	$337.59
Rate for Payer: Aetna Medicare Advantage	$266.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.54
Rate for Payer: Cigna Commercial	$444.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.52
Rate for Payer: Oxford Commercial	$177.68
Rate for Payer: Qualcare PPO/HMO/WC	$133.26
Rate for Payer: UnitedHealthcare Commercial	$177.68
Rate for Payer: UnitedHealthcare Community & State	$21.41
Rate for Payer: Wellpoint Medicaid Managed Care	$23.54

SHARPSHOOTER SUTURE TAPE

Facility

$888.40

Hospital Charge Code	270705134
Hospital Revenue Code	279
Min. Negotiated Rate	$133.26
Max. Negotiated Rate	$133.26
Rate for Payer: Qualcare PPO/HMO/WC	$133.26

SHAVE BIOPSY DERMAL LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502511
Hospital Revenue Code	510
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

SHAVE BIOPSY DERMAL LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502511
Hospital Revenue Code	510
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$1,743.30
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Community & State	$1.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.83

SHAVE BIOPSY SKIN LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502640
Hospital Revenue Code	510
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

SHAVE BIOPSY SKIN LESION

Facility

$69.00

Service Code	HCPCS 11300
Hospital Charge Code	87502640
Hospital Revenue Code	510
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$1,743.30
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Community & State	$1.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.83

SHAVER 3.0

Facility

$330.00

Hospital Charge Code	270687620
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

SHAVER 3.0

Facility

$330.00

Hospital Charge Code	270687620
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.00
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$7.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.74

SHAVER AGGRESSIVE 3.0

Facility

$330.00

Hospital Charge Code	270687617
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

SHAVER AGGRESSIVE 3.0

Facility

$330.00

Hospital Charge Code	270687617
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.00
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$7.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.74

SHAVER AGGRESSIVE PLUS 4.0MM

Facility

$288.65

Hospital Charge Code	270654868
Hospital Revenue Code	272
Min. Negotiated Rate	$43.30
Max. Negotiated Rate	$43.30
Rate for Payer: Qualcare PPO/HMO/WC	$43.30

SHAVER AGGRESSIVE PLUS 4.0MM

Facility

$288.65

Hospital Charge Code	270654868
Hospital Revenue Code	272
Min. Negotiated Rate	$6.96
Max. Negotiated Rate	$144.32
Rate for Payer: Aetna Commercial	$109.69
Rate for Payer: Aetna Medicare Advantage	$86.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.61
Rate for Payer: Cigna Commercial	$144.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.59
Rate for Payer: Oxford Commercial	$57.73
Rate for Payer: Qualcare PPO/HMO/WC	$43.30
Rate for Payer: UnitedHealthcare Commercial	$57.73
Rate for Payer: UnitedHealthcare Community & State	$6.96
Rate for Payer: Wellpoint Medicaid Managed Care	$7.65

SHAVER AGGRESSIVE PLUS 5.5MM

Facility

$200.00

Hospital Charge Code	270671571
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SHAVER AGGRESSIVE PLUS 5.5MM

Facility

$200.00

Hospital Charge Code	270671571
Hospital Revenue Code	272
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

SHAVER AGGRESSIVE PLUS F 4MM

Facility

$277.16

Hospital Charge Code	270652470
Hospital Revenue Code	272
Min. Negotiated Rate	$6.68
Max. Negotiated Rate	$138.58
Rate for Payer: Aetna Commercial	$105.32
Rate for Payer: Aetna Medicare Advantage	$83.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.68
Rate for Payer: Cigna Commercial	$138.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.15
Rate for Payer: Oxford Commercial	$55.43
Rate for Payer: Qualcare PPO/HMO/WC	$41.57
Rate for Payer: UnitedHealthcare Commercial	$55.43
Rate for Payer: UnitedHealthcare Community & State	$6.68
Rate for Payer: Wellpoint Medicaid Managed Care	$7.34

SHAVER AGGRESSIVE PLUS F 4MM

Facility

$277.16

Hospital Charge Code	270652470
Hospital Revenue Code	272
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$41.57
Rate for Payer: Qualcare PPO/HMO/WC	$41.57

SHAVER ANGLE AGGRESSIVE 4.5MM

Facility

$158.33

Hospital Charge Code	270675576
Hospital Revenue Code	272
Min. Negotiated Rate	$3.82
Max. Negotiated Rate	$79.17
Rate for Payer: Aetna Commercial	$60.17
Rate for Payer: Aetna Medicare Advantage	$47.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.37
Rate for Payer: Cigna Commercial	$79.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.50
Rate for Payer: Oxford Commercial	$31.67
Rate for Payer: Qualcare PPO/HMO/WC	$23.75
Rate for Payer: UnitedHealthcare Commercial	$31.67
Rate for Payer: UnitedHealthcare Community & State	$3.82
Rate for Payer: Wellpoint Medicaid Managed Care	$4.20

SHAVER ANGLE AGGRESSIVE 4.5MM

Facility

$158.33

Hospital Charge Code	270675576
Hospital Revenue Code	272
Min. Negotiated Rate	$23.75
Max. Negotiated Rate	$23.75
Rate for Payer: Qualcare PPO/HMO/WC	$23.75

SHAVER ANGLE AGGRESSIVE 5.0MM

Facility

$200.00

Hospital Charge Code	270675577
Hospital Revenue Code	272
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

SHAVER ANGLE AGGRESSIVE 5.0MM

Facility

$200.00

Hospital Charge Code	270675577
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

SHAVER BONE 360

Facility

$2,025.00

Hospital Charge Code	270678093
Hospital Revenue Code	272
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

SHAVER BONE 360

Facility

$2,025.00

Hospital Charge Code	270678093
Hospital Revenue Code	272
Min. Negotiated Rate	$48.80
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.50
Rate for Payer: Oxford Commercial	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Commercial	$405.00
Rate for Payer: UnitedHealthcare Community & State	$48.80
Rate for Payer: Wellpoint Medicaid Managed Care	$53.66

SHAVER DENSE TISSUE MINI

Facility

$4,811.25

Service Code	HCPCS C1782
Hospital Charge Code	270700296
Hospital Revenue Code	272
Min. Negotiated Rate	$721.69
Max. Negotiated Rate	$721.69
Rate for Payer: Qualcare PPO/HMO/WC	$721.69

Know your out-of-pocket cost for care.

All Charges