Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SIGN: AUTHERIZED PERSANNEL ONL

Facility

$57.15

Hospital Charge Code	270657150
Hospital Revenue Code	270
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$8.57
Rate for Payer: Qualcare PPO/HMO/WC	$8.57

SIGN: AUTHERIZED PERSANNEL ONL

Facility

$57.15

Hospital Charge Code	270657150
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$28.57
Rate for Payer: Aetna Commercial	$21.72
Rate for Payer: Aetna Medicare Advantage	$17.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.57
Rate for Payer: Cigna Commercial	$28.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.14
Rate for Payer: Oxford Commercial	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$8.57
Rate for Payer: UnitedHealthcare Commercial	$11.43
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.51

SIGN: DANGER

Facility

$57.15

Hospital Charge Code	270657152
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$28.57
Rate for Payer: Aetna Commercial	$21.72
Rate for Payer: Aetna Medicare Advantage	$17.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.57
Rate for Payer: Cigna Commercial	$28.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.14
Rate for Payer: Oxford Commercial	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$8.57
Rate for Payer: UnitedHealthcare Commercial	$11.43
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.51

SIGN: DANGER

Facility

$57.15

Hospital Charge Code	270657152
Hospital Revenue Code	270
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$8.57
Rate for Payer: Qualcare PPO/HMO/WC	$8.57

SIGN: HOT DANGER

Facility

$57.15

Hospital Charge Code	270657154
Hospital Revenue Code	270
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$8.57
Rate for Payer: Qualcare PPO/HMO/WC	$8.57

SIGN: HOT DANGER

Facility

$57.15

Hospital Charge Code	270657154
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$28.57
Rate for Payer: Aetna Commercial	$21.72
Rate for Payer: Aetna Medicare Advantage	$17.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.57
Rate for Payer: Cigna Commercial	$28.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.14
Rate for Payer: Oxford Commercial	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$8.57
Rate for Payer: UnitedHealthcare Commercial	$11.43
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.51

Signia Linear Adapter

Facility

$10,180.30

Hospital Charge Code	270691833
Hospital Revenue Code	272
Min. Negotiated Rate	$245.35
Max. Negotiated Rate	$5,090.15
Rate for Payer: Aetna Commercial	$3,868.51
Rate for Payer: Aetna Medicare Advantage	$3,054.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,595.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,595.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,595.98
Rate for Payer: Cigna Commercial	$5,090.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,054.09
Rate for Payer: Oxford Commercial	$2,036.06
Rate for Payer: Qualcare PPO/HMO/WC	$1,527.05
Rate for Payer: UnitedHealthcare Commercial	$2,036.06
Rate for Payer: UnitedHealthcare Community & State	$245.35
Rate for Payer: Wellpoint Medicaid Managed Care	$269.78

Signia Linear Adapter

Facility

$10,180.30

Hospital Charge Code	270691833
Hospital Revenue Code	272
Min. Negotiated Rate	$1,527.05
Max. Negotiated Rate	$1,527.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,527.05

SIGNIA TRI STAPLE CURVE 30MM

Facility

$2,187.00

Hospital Charge Code	270698034
Hospital Revenue Code	272
Min. Negotiated Rate	$52.71
Max. Negotiated Rate	$1,093.50
Rate for Payer: Aetna Commercial	$831.06
Rate for Payer: Aetna Medicare Advantage	$656.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$557.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$557.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$557.68
Rate for Payer: Cigna Commercial	$1,093.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$656.10
Rate for Payer: Oxford Commercial	$437.40
Rate for Payer: Qualcare PPO/HMO/WC	$328.05
Rate for Payer: UnitedHealthcare Commercial	$437.40
Rate for Payer: UnitedHealthcare Community & State	$52.71
Rate for Payer: Wellpoint Medicaid Managed Care	$57.96

SIGNIA TRI STAPLE CURVE 30MM

Facility

$2,187.00

Hospital Charge Code	270698034
Hospital Revenue Code	272
Min. Negotiated Rate	$328.05
Max. Negotiated Rate	$328.05
Rate for Payer: Qualcare PPO/HMO/WC	$328.05

SIGN: NOTICE

Facility

$57.15

Hospital Charge Code	270657156
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$28.57
Rate for Payer: Aetna Commercial	$21.72
Rate for Payer: Aetna Medicare Advantage	$17.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.57
Rate for Payer: Cigna Commercial	$28.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.14
Rate for Payer: Oxford Commercial	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$8.57
Rate for Payer: UnitedHealthcare Commercial	$11.43
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.51

SIGN: NOTICE

Facility

$57.15

Hospital Charge Code	270657156
Hospital Revenue Code	270
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$8.57
Rate for Payer: Qualcare PPO/HMO/WC	$8.57

SIGN: NOTICE AUTHERIZED PERSON

Facility

$57.15

Hospital Charge Code	270657158
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$28.57
Rate for Payer: Aetna Commercial	$21.72
Rate for Payer: Aetna Medicare Advantage	$17.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.57
Rate for Payer: Cigna Commercial	$28.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.14
Rate for Payer: Oxford Commercial	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$8.57
Rate for Payer: UnitedHealthcare Commercial	$11.43
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.51

SIGN: NOTICE AUTHERIZED PERSON

Facility

$57.15

Hospital Charge Code	270657158
Hospital Revenue Code	270
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$8.57
Rate for Payer: Qualcare PPO/HMO/WC	$8.57

SIGN: NOTICE KEEP THIS DOOR CL

Facility

$57.15

Hospital Charge Code	270657157
Hospital Revenue Code	270
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$8.57
Rate for Payer: Qualcare PPO/HMO/WC	$8.57

SIGN: NOTICE KEEP THIS DOOR CL

Facility

$57.15

Hospital Charge Code	270657157
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$28.57
Rate for Payer: Aetna Commercial	$21.72
Rate for Payer: Aetna Medicare Advantage	$17.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.57
Rate for Payer: Cigna Commercial	$28.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.14
Rate for Payer: Oxford Commercial	$11.43
Rate for Payer: Qualcare PPO/HMO/WC	$8.57
Rate for Payer: UnitedHealthcare Commercial	$11.43
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.51

SIGN POST 5 FT 19 IN W 19 IN D

Facility

$694.10

Hospital Charge Code	270683581
Hospital Revenue Code	272
Min. Negotiated Rate	$104.11
Max. Negotiated Rate	$104.11
Rate for Payer: Qualcare PPO/HMO/WC	$104.11

SIGN POST 5 FT 19 IN W 19 IN D

Facility

$694.10

Hospital Charge Code	270683581
Hospital Revenue Code	272
Min. Negotiated Rate	$16.73
Max. Negotiated Rate	$347.05
Rate for Payer: Aetna Commercial	$263.76
Rate for Payer: Aetna Medicare Advantage	$208.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.00
Rate for Payer: Cigna Commercial	$347.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.23
Rate for Payer: Oxford Commercial	$138.82
Rate for Payer: Qualcare PPO/HMO/WC	$104.11
Rate for Payer: UnitedHealthcare Commercial	$138.82
Rate for Payer: UnitedHealthcare Community & State	$16.73
Rate for Payer: Wellpoint Medicaid Managed Care	$18.39

SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility

$44,856.83

Service Code	MSDRG 555
Min. Negotiated Rate	$13,658.33
Max. Negotiated Rate	$44,856.83
Rate for Payer: Aetna Commercial	$31,079.08
Rate for Payer: Aetna Medicare Advantage	$44,856.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,565.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,565.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,377.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,565.40
Rate for Payer: Cigna Commercial	$24,736.17
Rate for Payer: Cigna Medicare Advantage	$14,377.19
Rate for Payer: Clover Medicare Advantage	$13,658.33
Rate for Payer: EmblemHealth Commercial	$43,131.57
Rate for Payer: Humana Medicare Advantage	$14,808.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,377.19
Rate for Payer: Oxford Commercial	$17,778.21
Rate for Payer: UnitedHealthcare Commercial	$31,174.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,377.19
Rate for Payer: Wellcare Medicare Advantage	$14,377.19

SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC

Facility

$28,980.43

Service Code	MSDRG 556
Min. Negotiated Rate	$8,824.17
Max. Negotiated Rate	$28,980.43
Rate for Payer: Aetna Commercial	$20,170.18
Rate for Payer: Aetna Medicare Advantage	$28,980.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,074.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,074.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,288.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,074.02
Rate for Payer: Cigna Commercial	$15,543.85
Rate for Payer: Cigna Medicare Advantage	$9,288.60
Rate for Payer: Clover Medicare Advantage	$8,824.17
Rate for Payer: EmblemHealth Commercial	$27,865.80
Rate for Payer: Humana Medicare Advantage	$9,567.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,288.60
Rate for Payer: Oxford Commercial	$11,171.57
Rate for Payer: UnitedHealthcare Commercial	$19,589.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,288.60
Rate for Payer: Wellcare Medicare Advantage	$9,288.60

SIGNS AND SYMPTOMS WITH MCC

Facility

$43,163.20

Service Code	MSDRG 947
Min. Negotiated Rate	$13,142.64
Max. Negotiated Rate	$43,163.20
Rate for Payer: Aetna Commercial	$29,915.35
Rate for Payer: Aetna Medicare Advantage	$43,163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,076.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,076.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,834.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,076.25
Rate for Payer: Cigna Commercial	$23,755.55
Rate for Payer: Cigna Medicare Advantage	$13,834.36
Rate for Payer: Clover Medicare Advantage	$13,142.64
Rate for Payer: EmblemHealth Commercial	$41,503.08
Rate for Payer: Humana Medicare Advantage	$14,249.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,834.36
Rate for Payer: Oxford Commercial	$17,073.43
Rate for Payer: UnitedHealthcare Commercial	$29,938.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,834.36
Rate for Payer: Wellcare Medicare Advantage	$13,834.36

SIGNS AND SYMPTOMS WITHOUT MCC

Facility

$28,007.58

Service Code	MSDRG 948
Min. Negotiated Rate	$8,527.95
Max. Negotiated Rate	$28,007.58
Rate for Payer: Aetna Commercial	$19,501.73
Rate for Payer: Aetna Medicare Advantage	$28,007.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,608.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,608.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,976.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,608.80
Rate for Payer: Cigna Commercial	$14,980.56
Rate for Payer: Cigna Medicare Advantage	$8,976.79
Rate for Payer: Clover Medicare Advantage	$8,527.95
Rate for Payer: EmblemHealth Commercial	$26,930.37
Rate for Payer: Humana Medicare Advantage	$9,246.09
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,976.79
Rate for Payer: Oxford Commercial	$10,766.73
Rate for Payer: UnitedHealthcare Commercial	$18,879.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,976.79
Rate for Payer: Wellcare Medicare Advantage	$8,976.79

SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$15,974.22

Service Code	APR-DRG 8614
Min. Negotiated Rate	$15,661.00
Max. Negotiated Rate	$15,974.22
Rate for Payer: UnitedHealthcare Community & State	$15,661.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,974.22
Rate for Payer: Wellpoint Medicaid Managed Care	$15,661.00

SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$4,684.22

Service Code	APR-DRG 8611
Min. Negotiated Rate	$4,592.37
Max. Negotiated Rate	$4,684.22
Rate for Payer: UnitedHealthcare Community & State	$4,592.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,684.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4,592.37

SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$7,652.58

Service Code	APR-DRG 8612
Min. Negotiated Rate	$7,502.53
Max. Negotiated Rate	$7,652.58
Rate for Payer: UnitedHealthcare Community & State	$7,502.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,652.58
Rate for Payer: Wellpoint Medicaid Managed Care	$7,502.53

Know your out-of-pocket cost for care.

All Charges