Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SHAVER DENSE TISSUE MINI

Facility

$4,811.25

Service Code	HCPCS C1782
Hospital Charge Code	270700296
Hospital Revenue Code	272
Min. Negotiated Rate	$115.95
Max. Negotiated Rate	$2,405.62
Rate for Payer: Aetna Commercial	$1,828.28
Rate for Payer: Aetna Medicare Advantage	$1,443.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,226.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,226.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,226.87
Rate for Payer: Cigna Commercial	$2,405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,443.38
Rate for Payer: Oxford Commercial	$962.25
Rate for Payer: Qualcare PPO/HMO/WC	$721.69
Rate for Payer: UnitedHealthcare Commercial	$962.25
Rate for Payer: UnitedHealthcare Community & State	$115.95
Rate for Payer: Wellpoint Medicaid Managed Care	$127.50

SHAVER DIAMOND 04.4

Facility

$2,531.25

Hospital Charge Code	270663203
Hospital Revenue Code	272
Min. Negotiated Rate	$61.00
Max. Negotiated Rate	$1,265.62
Rate for Payer: Aetna Commercial	$961.88
Rate for Payer: Aetna Medicare Advantage	$759.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$645.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$645.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$645.47
Rate for Payer: Cigna Commercial	$1,265.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$759.38
Rate for Payer: Oxford Commercial	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$379.69
Rate for Payer: UnitedHealthcare Commercial	$506.25
Rate for Payer: UnitedHealthcare Community & State	$61.00
Rate for Payer: Wellpoint Medicaid Managed Care	$67.08

SHAVER DIAMOND 04.4

Facility

$2,531.25

Hospital Charge Code	270663203
Hospital Revenue Code	272
Min. Negotiated Rate	$379.69
Max. Negotiated Rate	$379.69
Rate for Payer: Qualcare PPO/HMO/WC	$379.69

SHAVER MACRO HOOK 2.2X3.0MM

Facility

$2,085.00

Hospital Charge Code	270692068
Hospital Revenue Code	272
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$1,042.50
Rate for Payer: Aetna Commercial	$792.30
Rate for Payer: Aetna Medicare Advantage	$625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.67
Rate for Payer: Cigna Commercial	$1,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$625.50
Rate for Payer: Oxford Commercial	$417.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.75
Rate for Payer: UnitedHealthcare Commercial	$417.00
Rate for Payer: UnitedHealthcare Community & State	$50.25
Rate for Payer: Wellpoint Medicaid Managed Care	$55.25

SHAVER MACRO HOOK 2.2X3.0MM

Facility

$2,085.00

Hospital Charge Code	270692068
Hospital Revenue Code	272
Min. Negotiated Rate	$312.75
Max. Negotiated Rate	$312.75
Rate for Payer: Qualcare PPO/HMO/WC	$312.75

SHAVERS SOFT TISSUE

Facility

$2,845.90

Hospital Charge Code	270700295
Hospital Revenue Code	272
Min. Negotiated Rate	$68.59
Max. Negotiated Rate	$1,422.95
Rate for Payer: Aetna Commercial	$1,081.44
Rate for Payer: Aetna Medicare Advantage	$853.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$725.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$725.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$725.70
Rate for Payer: Cigna Commercial	$1,422.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.77
Rate for Payer: Oxford Commercial	$569.18
Rate for Payer: Qualcare PPO/HMO/WC	$426.88
Rate for Payer: UnitedHealthcare Commercial	$569.18
Rate for Payer: UnitedHealthcare Community & State	$68.59
Rate for Payer: Wellpoint Medicaid Managed Care	$75.42

SHAVERS SOFT TISSUE

Facility

$2,845.90

Hospital Charge Code	270700295
Hospital Revenue Code	272
Min. Negotiated Rate	$426.88
Max. Negotiated Rate	$426.88
Rate for Payer: Qualcare PPO/HMO/WC	$426.88

SHAVE SKIN LESION 0.5CM/<

Facility

$873.65

Service Code	HCPCS 11305
Hospital Charge Code	412311305
Hospital Revenue Code	361
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
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	$860.41
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.10
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$21.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$554.01
Rate for Payer: Wellpoint Medicaid Managed Care	$543.15

SHAVE SKIN LESION 0.5CM/<

Facility

$873.65

Service Code	HCPCS 11305
Hospital Charge Code	412311305
Hospital Revenue Code	361
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$131.05
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SHAVE SKIN LESION 0.6-1.0CM

Facility

$873.65

Service Code	HCPCS 11306
Hospital Charge Code	412311306
Hospital Revenue Code	361
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$131.05
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SHAVE SKIN LESION 0.6-1.0CM

Facility

$873.65

Service Code	HCPCS 11306
Hospital Charge Code	412311306
Hospital Revenue Code	361
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
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	$860.41
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.10
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$21.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$554.01
Rate for Payer: Wellpoint Medicaid Managed Care	$543.15

SHEALTH 10 FR PINNACLE

Facility

$640.00

Service Code	HCPCS C1894
Hospital Charge Code	270695859
Hospital Revenue Code	278
Min. Negotiated Rate	$15.42
Max. Negotiated Rate	$320.00
Rate for Payer: Aetna Commercial	$243.20
Rate for Payer: Aetna Medicare Advantage	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.20
Rate for Payer: Cigna Commercial	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.80
Rate for Payer: Qualcare PPO/HMO/WC	$96.00
Rate for Payer: UnitedHealthcare Community & State	$15.42
Rate for Payer: Wellpoint Medicaid Managed Care	$16.96

SHEALTH 10 FR PINNACLE

Facility

$640.00

Service Code	HCPCS C1894
Hospital Charge Code	270695859
Hospital Revenue Code	278
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$154.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.80
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

SHEALTH 10 FR PINNACLE

Facility

$640.00

Service Code	HCPCS C1894
Hospital Charge Code	270695859C
Hospital Revenue Code	278
Min. Negotiated Rate	$15.42
Max. Negotiated Rate	$320.00
Rate for Payer: Aetna Commercial	$243.20
Rate for Payer: Aetna Medicare Advantage	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.20
Rate for Payer: Cigna Commercial	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.80
Rate for Payer: Qualcare PPO/HMO/WC	$96.00
Rate for Payer: UnitedHealthcare Community & State	$15.42
Rate for Payer: Wellpoint Medicaid Managed Care	$16.96

SHEALTH 10 FR PINNACLE

Facility

$640.00

Service Code	HCPCS C1894
Hospital Charge Code	270695859C
Hospital Revenue Code	278
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$154.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.80
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

SHEALTH 12 FR 45 CM FLEXOR

Facility

$251.50

Hospital Charge Code	270690149S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.06
Max. Negotiated Rate	$125.75
Rate for Payer: Aetna Commercial	$95.57
Rate for Payer: Aetna Medicare Advantage	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.13
Rate for Payer: Cigna Commercial	$125.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.45
Rate for Payer: Oxford Commercial	$50.30
Rate for Payer: Qualcare PPO/HMO/WC	$37.73
Rate for Payer: UnitedHealthcare Commercial	$50.30
Rate for Payer: UnitedHealthcare Community & State	$6.06
Rate for Payer: Wellpoint Medicaid Managed Care	$6.66

SHEALTH 12 FR 45 CM FLEXOR

Facility

$251.50

Hospital Charge Code	270690149
Hospital Revenue Code	272
Min. Negotiated Rate	$6.06
Max. Negotiated Rate	$125.75
Rate for Payer: Aetna Commercial	$95.57
Rate for Payer: Aetna Medicare Advantage	$75.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.13
Rate for Payer: Cigna Commercial	$125.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.45
Rate for Payer: Oxford Commercial	$50.30
Rate for Payer: Qualcare PPO/HMO/WC	$37.73
Rate for Payer: UnitedHealthcare Commercial	$50.30
Rate for Payer: UnitedHealthcare Community & State	$6.06
Rate for Payer: Wellpoint Medicaid Managed Care	$6.66

SHEALTH 12 FR 45 CM FLEXOR

Facility

$251.50

Hospital Charge Code	270690149S
Hospital Revenue Code	272
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$37.73
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

SHEALTH 12 FR 45 CM FLEXOR

Facility

$251.50

Hospital Charge Code	270690149
Hospital Revenue Code	272
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$37.73
Rate for Payer: Qualcare PPO/HMO/WC	$37.73

SHEAR 9cm CURVED HARM FOC FCS9

Facility

$2,396.28

Hospital Charge Code	270640286
Hospital Revenue Code	272
Min. Negotiated Rate	$359.44
Max. Negotiated Rate	$359.44
Rate for Payer: Qualcare PPO/HMO/WC	$359.44

SHEAR 9cm CURVED HARM FOC FCS9

Facility

$2,396.28

Hospital Charge Code	270640286
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$1,198.14
Rate for Payer: Aetna Commercial	$910.59
Rate for Payer: Aetna Medicare Advantage	$718.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$611.05
Rate for Payer: Cigna Commercial	$1,198.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$718.88
Rate for Payer: Oxford Commercial	$479.26
Rate for Payer: Qualcare PPO/HMO/WC	$359.44
Rate for Payer: UnitedHealthcare Commercial	$479.26
Rate for Payer: UnitedHealthcare Community & State	$57.75
Rate for Payer: Wellpoint Medicaid Managed Care	$63.50

SHEAR CURVED 5MMX30CM LCSC5

Facility

$2,105.85

Hospital Charge Code	270624500
Hospital Revenue Code	272
Min. Negotiated Rate	$315.88
Max. Negotiated Rate	$315.88
Rate for Payer: Qualcare PPO/HMO/WC	$315.88

SHEAR CURVED 5MMX30CM LCSC5

Facility

$2,105.85

Hospital Charge Code	270624500
Hospital Revenue Code	272
Min. Negotiated Rate	$50.75
Max. Negotiated Rate	$1,052.92
Rate for Payer: Aetna Commercial	$800.22
Rate for Payer: Aetna Medicare Advantage	$631.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.99
Rate for Payer: Cigna Commercial	$1,052.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.75
Rate for Payer: Oxford Commercial	$421.17
Rate for Payer: Qualcare PPO/HMO/WC	$315.88
Rate for Payer: UnitedHealthcare Commercial	$421.17
Rate for Payer: UnitedHealthcare Community & State	$50.75
Rate for Payer: Wellpoint Medicaid Managed Care	$55.81

SHEAR CURVED HARM 5mm ACE23P

Facility

$1,615.00

Hospital Charge Code	270637400
Hospital Revenue Code	272
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$242.25
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

SHEAR CURVED HARM 5mm ACE23P

Facility

$1,615.00

Hospital Charge Code	270637400
Hospital Revenue Code	272
Min. Negotiated Rate	$38.92
Max. Negotiated Rate	$807.50
Rate for Payer: Aetna Commercial	$613.70
Rate for Payer: Aetna Medicare Advantage	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.82
Rate for Payer: Cigna Commercial	$807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.50
Rate for Payer: Oxford Commercial	$323.00
Rate for Payer: Qualcare PPO/HMO/WC	$242.25
Rate for Payer: UnitedHealthcare Commercial	$323.00
Rate for Payer: UnitedHealthcare Community & State	$38.92
Rate for Payer: Wellpoint Medicaid Managed Care	$42.80

Know your out-of-pocket cost for care.

All Charges