Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SHEAR ENDOSCOPIC HOOK 5MM 33CM

Facility

$368.17

Hospital Charge Code	270600110
Hospital Revenue Code	272
Min. Negotiated Rate	$8.87
Max. Negotiated Rate	$184.09
Rate for Payer: Aetna Commercial	$139.90
Rate for Payer: Aetna Medicare Advantage	$110.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.88
Rate for Payer: Cigna Commercial	$184.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.45
Rate for Payer: Oxford Commercial	$73.63
Rate for Payer: Qualcare PPO/HMO/WC	$55.23
Rate for Payer: UnitedHealthcare Commercial	$73.63
Rate for Payer: UnitedHealthcare Community & State	$8.87
Rate for Payer: Wellpoint Medicaid Managed Care	$9.76

SHEAR ENDOSCOPIC HOOK 5MM 33CM

Facility

$368.17

Hospital Charge Code	270600110
Hospital Revenue Code	272
Min. Negotiated Rate	$55.23
Max. Negotiated Rate	$55.23
Rate for Payer: Qualcare PPO/HMO/WC	$55.23

SHEAR ENDOSCOPIC HOOK 5MM 36CM

Facility

$298.96

Hospital Charge Code	270600111
Hospital Revenue Code	272
Min. Negotiated Rate	$44.84
Max. Negotiated Rate	$44.84
Rate for Payer: Qualcare PPO/HMO/WC	$44.84

SHEAR ENDOSCOPIC HOOK 5MM 36CM

Facility

$298.96

Hospital Charge Code	270600111
Hospital Revenue Code	272
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$149.48
Rate for Payer: Aetna Commercial	$113.60
Rate for Payer: Aetna Medicare Advantage	$89.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.23
Rate for Payer: Cigna Commercial	$149.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.69
Rate for Payer: Oxford Commercial	$59.79
Rate for Payer: Qualcare PPO/HMO/WC	$44.84
Rate for Payer: UnitedHealthcare Commercial	$59.79
Rate for Payer: UnitedHealthcare Community & State	$7.20
Rate for Payer: Wellpoint Medicaid Managed Care	$7.92

SHEAR HARMONIC ACE 7 45CM

Facility

$3,135.64

Hospital Charge Code	270669362
Hospital Revenue Code	272
Min. Negotiated Rate	$75.57
Max. Negotiated Rate	$1,567.82
Rate for Payer: Aetna Commercial	$1,191.54
Rate for Payer: Aetna Medicare Advantage	$940.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$799.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$799.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$799.59
Rate for Payer: Cigna Commercial	$1,567.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$940.69
Rate for Payer: Oxford Commercial	$627.13
Rate for Payer: Qualcare PPO/HMO/WC	$470.35
Rate for Payer: UnitedHealthcare Commercial	$627.13
Rate for Payer: UnitedHealthcare Community & State	$75.57
Rate for Payer: Wellpoint Medicaid Managed Care	$83.09

SHEAR HARMONIC ACE 7 45CM

Facility

$3,135.64

Hospital Charge Code	270669362
Hospital Revenue Code	272
Min. Negotiated Rate	$470.35
Max. Negotiated Rate	$470.35
Rate for Payer: Qualcare PPO/HMO/WC	$470.35

SHEAR HARMONIC COAGULATING CRV

Facility

$2,115.00

Hospital Charge Code	270659479
Hospital Revenue Code	272
Min. Negotiated Rate	$50.97
Max. Negotiated Rate	$1,057.50
Rate for Payer: Aetna Commercial	$803.70
Rate for Payer: Aetna Medicare Advantage	$634.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.33
Rate for Payer: Cigna Commercial	$1,057.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$634.50
Rate for Payer: Oxford Commercial	$423.00
Rate for Payer: Qualcare PPO/HMO/WC	$317.25
Rate for Payer: UnitedHealthcare Commercial	$423.00
Rate for Payer: UnitedHealthcare Community & State	$50.97
Rate for Payer: Wellpoint Medicaid Managed Care	$56.05

SHEAR HARMONIC COAGULATING CRV

Facility

$2,115.00

Hospital Charge Code	270659479
Hospital Revenue Code	272
Min. Negotiated Rate	$317.25
Max. Negotiated Rate	$317.25
Rate for Payer: Qualcare PPO/HMO/WC	$317.25

SHEAR HS FOCUS 9CM

Facility

$2,895.12

Hospital Charge Code	270673935
Hospital Revenue Code	272
Min. Negotiated Rate	$434.27
Max. Negotiated Rate	$434.27
Rate for Payer: Qualcare PPO/HMO/WC	$434.27

SHEAR HS FOCUS 9CM

Facility

$2,895.12

Hospital Charge Code	270673935
Hospital Revenue Code	272
Min. Negotiated Rate	$69.77
Max. Negotiated Rate	$1,447.56
Rate for Payer: Aetna Commercial	$1,100.15
Rate for Payer: Aetna Medicare Advantage	$868.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$738.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$738.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$738.26
Rate for Payer: Cigna Commercial	$1,447.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.54
Rate for Payer: Oxford Commercial	$579.02
Rate for Payer: Qualcare PPO/HMO/WC	$434.27
Rate for Payer: UnitedHealthcare Commercial	$579.02
Rate for Payer: UnitedHealthcare Community & State	$69.77
Rate for Payer: Wellpoint Medicaid Managed Care	$76.72

SHEAR LAPROSCOPIC 5mm HARM ACE

Facility

$2,781.29

Hospital Charge Code	270635619
Hospital Revenue Code	272
Min. Negotiated Rate	$417.19
Max. Negotiated Rate	$417.19
Rate for Payer: Qualcare PPO/HMO/WC	$417.19

SHEAR LAPROSCOPIC 5mm HARM ACE

Facility

$2,781.29

Hospital Charge Code	270635619
Hospital Revenue Code	272
Min. Negotiated Rate	$67.03
Max. Negotiated Rate	$1,390.64
Rate for Payer: Aetna Commercial	$1,056.89
Rate for Payer: Aetna Medicare Advantage	$834.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$709.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$709.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$709.23
Rate for Payer: Cigna Commercial	$1,390.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.39
Rate for Payer: Oxford Commercial	$556.26
Rate for Payer: Qualcare PPO/HMO/WC	$417.19
Rate for Payer: UnitedHealthcare Commercial	$556.26
Rate for Payer: UnitedHealthcare Community & State	$67.03
Rate for Payer: Wellpoint Medicaid Managed Care	$73.70

SHEARS,COAG.KNIFE DOWN BLADE

Facility

$924.00

Hospital Charge Code	270335397
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SHEARS,COAG.KNIFE DOWN BLADE

Facility

$924.00

Hospital Charge Code	270335397
Hospital Revenue Code	272
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.20
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$22.27
Rate for Payer: Wellpoint Medicaid Managed Care	$24.49

SHEARS,COAGULATING PISTALGRIP

Facility

$924.00

Hospital Charge Code	270335399
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

SHEARS,COAGULATING PISTALGRIP

Facility

$924.00

Hospital Charge Code	270335399
Hospital Revenue Code	272
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.20
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$22.27
Rate for Payer: Wellpoint Medicaid Managed Care	$24.49

SHEARS HARMONIC 1100 20CM

Facility

$5,910.40

Hospital Charge Code	270693525
Hospital Revenue Code	272
Min. Negotiated Rate	$142.44
Max. Negotiated Rate	$2,955.20
Rate for Payer: Aetna Commercial	$2,245.95
Rate for Payer: Aetna Medicare Advantage	$1,773.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,507.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,507.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,507.15
Rate for Payer: Cigna Commercial	$2,955.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,773.12
Rate for Payer: Oxford Commercial	$1,182.08
Rate for Payer: Qualcare PPO/HMO/WC	$886.56
Rate for Payer: UnitedHealthcare Commercial	$1,182.08
Rate for Payer: UnitedHealthcare Community & State	$142.44
Rate for Payer: Wellpoint Medicaid Managed Care	$156.63

SHEARS HARMONIC 1100 20CM

Facility

$5,910.40

Hospital Charge Code	270693525
Hospital Revenue Code	272
Min. Negotiated Rate	$886.56
Max. Negotiated Rate	$886.56
Rate for Payer: Qualcare PPO/HMO/WC	$886.56

SHEARS HARMONIC 1100 36CM

Facility

$6,730.15

Hospital Charge Code	270693526
Hospital Revenue Code	272
Min. Negotiated Rate	$1,009.52
Max. Negotiated Rate	$1,009.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,009.52

SHEARS HARMONIC 1100 36CM

Facility

$6,730.15

Hospital Charge Code	270693526
Hospital Revenue Code	272
Min. Negotiated Rate	$162.20
Max. Negotiated Rate	$3,365.07
Rate for Payer: Aetna Commercial	$2,557.46
Rate for Payer: Aetna Medicare Advantage	$2,019.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,716.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,716.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,716.19
Rate for Payer: Cigna Commercial	$3,365.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,019.05
Rate for Payer: Oxford Commercial	$1,346.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,009.52
Rate for Payer: UnitedHealthcare Commercial	$1,346.03
Rate for Payer: UnitedHealthcare Community & State	$162.20
Rate for Payer: Wellpoint Medicaid Managed Care	$178.35

SHEARS HARMONIC CVD BLADE 36CM

Facility

$2,653.73

Hospital Charge Code	270662788
Hospital Revenue Code	272
Min. Negotiated Rate	$398.06
Max. Negotiated Rate	$398.06
Rate for Payer: Qualcare PPO/HMO/WC	$398.06

SHEARS HARMONIC CVD BLADE 36CM

Facility

$2,653.73

Hospital Charge Code	270662788
Hospital Revenue Code	272
Min. Negotiated Rate	$63.95
Max. Negotiated Rate	$1,326.87
Rate for Payer: Aetna Commercial	$1,008.42
Rate for Payer: Aetna Medicare Advantage	$796.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$676.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$676.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$676.70
Rate for Payer: Cigna Commercial	$1,326.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$796.12
Rate for Payer: Oxford Commercial	$530.75
Rate for Payer: Qualcare PPO/HMO/WC	$398.06
Rate for Payer: UnitedHealthcare Commercial	$530.75
Rate for Payer: UnitedHealthcare Community & State	$63.95
Rate for Payer: Wellpoint Medicaid Managed Care	$70.32

SHEARS LCS ULTRACISIONS LAPA

Facility

$10,237.50

Hospital Charge Code	270658428
Hospital Revenue Code	272
Min. Negotiated Rate	$246.72
Max. Negotiated Rate	$5,118.75
Rate for Payer: Aetna Commercial	$3,890.25
Rate for Payer: Aetna Medicare Advantage	$3,071.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,610.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,610.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,610.56
Rate for Payer: Cigna Commercial	$5,118.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,071.25
Rate for Payer: Oxford Commercial	$2,047.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.62
Rate for Payer: UnitedHealthcare Commercial	$2,047.50
Rate for Payer: UnitedHealthcare Community & State	$246.72
Rate for Payer: Wellpoint Medicaid Managed Care	$271.29

SHEARS LCS ULTRACISIONS LAPA

Facility

$10,237.50

Hospital Charge Code	270658428
Hospital Revenue Code	272
Min. Negotiated Rate	$1,535.62
Max. Negotiated Rate	$1,535.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.62

SHEARS MEDICUT SCISSORS 320-10

Facility

$52.00

Hospital Charge Code	270610065
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

Know your out-of-pocket cost for care.

All Charges