Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SLEEVE SMN IM HIP SCREW HN1200

Facility

$1,051.25

Hospital Charge Code	270621508
Hospital Revenue Code	278
Min. Negotiated Rate	$157.69
Max. Negotiated Rate	$254.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.28
Rate for Payer: Qualcare PPO/HMO/WC	$157.69

SLEEVE SMN IM HIP SCREW HN1200

Facility

$1,051.25

Hospital Charge Code	270621508
Hospital Revenue Code	278
Min. Negotiated Rate	$25.34
Max. Negotiated Rate	$525.62
Rate for Payer: Aetna Commercial	$399.48
Rate for Payer: Aetna Medicare Advantage	$315.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$268.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$268.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$210.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$268.07
Rate for Payer: Cigna Commercial	$525.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$254.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$231.28
Rate for Payer: Qualcare PPO/HMO/WC	$157.69
Rate for Payer: UnitedHealthcare Community & State	$25.34
Rate for Payer: Wellpoint Medicaid Managed Care	$27.86

SLEEVES SCD KNEE 3583005329

Facility

$189.09

Hospital Charge Code	270301515
Hospital Revenue Code	272
Min. Negotiated Rate	$28.36
Max. Negotiated Rate	$28.36
Rate for Payer: Qualcare PPO/HMO/WC	$28.36

SLEEVES SCD KNEE 3583005329

Facility

$189.09

Hospital Charge Code	270301515
Hospital Revenue Code	272
Min. Negotiated Rate	$4.56
Max. Negotiated Rate	$94.55
Rate for Payer: Aetna Commercial	$71.85
Rate for Payer: Aetna Medicare Advantage	$56.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.22
Rate for Payer: Cigna Commercial	$94.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.73
Rate for Payer: Oxford Commercial	$37.82
Rate for Payer: Qualcare PPO/HMO/WC	$28.36
Rate for Payer: UnitedHealthcare Commercial	$37.82
Rate for Payer: UnitedHealthcare Community & State	$4.56
Rate for Payer: Wellpoint Medicaid Managed Care	$5.01

SLEEVES SCD KNEE 3583005480

Facility

$36.93

Hospital Charge Code	270301510
Hospital Revenue Code	270
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$18.46
Rate for Payer: Aetna Commercial	$14.03
Rate for Payer: Aetna Medicare Advantage	$11.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.42
Rate for Payer: Cigna Commercial	$18.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.08
Rate for Payer: Oxford Commercial	$7.39
Rate for Payer: Qualcare PPO/HMO/WC	$5.54
Rate for Payer: UnitedHealthcare Commercial	$7.39
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

SLEEVES SCD KNEE 3583005480

Facility

$36.93

Hospital Charge Code	270301510
Hospital Revenue Code	270
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$5.54
Rate for Payer: Qualcare PPO/HMO/WC	$5.54

SLEEVES SCD MEDIUM 358005330

Facility

$44.84

Hospital Charge Code	270301505
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

SLEEVES SCD MEDIUM 358005330

Facility

$44.84

Hospital Charge Code	270301505
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$22.42
Rate for Payer: Aetna Commercial	$17.04
Rate for Payer: Aetna Medicare Advantage	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.43
Rate for Payer: Cigna Commercial	$22.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.45
Rate for Payer: Oxford Commercial	$8.97
Rate for Payer: Qualcare PPO/HMO/WC	$6.73
Rate for Payer: UnitedHealthcare Commercial	$8.97
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

SLEEVES SCD SMALL 3583005345

Facility

$169.70

Hospital Charge Code	270301500
Hospital Revenue Code	272
Min. Negotiated Rate	$25.45
Max. Negotiated Rate	$25.45
Rate for Payer: Qualcare PPO/HMO/WC	$25.45

SLEEVES SCD SMALL 3583005345

Facility

$169.70

Hospital Charge Code	270301500
Hospital Revenue Code	272
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$84.85
Rate for Payer: Aetna Commercial	$64.49
Rate for Payer: Aetna Medicare Advantage	$50.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.27
Rate for Payer: Cigna Commercial	$84.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.91
Rate for Payer: Oxford Commercial	$33.94
Rate for Payer: Qualcare PPO/HMO/WC	$25.45
Rate for Payer: UnitedHealthcare Commercial	$33.94
Rate for Payer: UnitedHealthcare Community & State	$4.09
Rate for Payer: Wellpoint Medicaid Managed Care	$4.50

SLEEVES SEQTIAL COMPRESS 5345

Facility

$239.85

Hospital Charge Code	270604155
Hospital Revenue Code	271
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$119.92
Rate for Payer: Aetna Commercial	$91.14
Rate for Payer: Aetna Medicare Advantage	$71.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.16
Rate for Payer: Cigna Commercial	$119.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.95
Rate for Payer: Oxford Commercial	$47.97
Rate for Payer: Qualcare PPO/HMO/WC	$35.98
Rate for Payer: UnitedHealthcare Commercial	$47.97
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

SLEEVES SEQTIAL COMPRESS 5345

Facility

$239.85

Hospital Charge Code	270604155
Hospital Revenue Code	271
Min. Negotiated Rate	$35.98
Max. Negotiated Rate	$35.98
Rate for Payer: Qualcare PPO/HMO/WC	$35.98

SLEEVES SEQUENTIAL KNEE 5329

Facility

$89.10

Hospital Charge Code	270628822
Hospital Revenue Code	271
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$44.55
Rate for Payer: Aetna Commercial	$33.86
Rate for Payer: Aetna Medicare Advantage	$26.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.72
Rate for Payer: Cigna Commercial	$44.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.73
Rate for Payer: Oxford Commercial	$17.82
Rate for Payer: Qualcare PPO/HMO/WC	$13.37
Rate for Payer: UnitedHealthcare Commercial	$17.82
Rate for Payer: UnitedHealthcare Community & State	$2.15
Rate for Payer: Wellpoint Medicaid Managed Care	$2.36

SLEEVES SEQUENTIAL KNEE 5329

Facility

$89.10

Hospital Charge Code	270628822
Hospital Revenue Code	271
Min. Negotiated Rate	$13.37
Max. Negotiated Rate	$13.37
Rate for Payer: Qualcare PPO/HMO/WC	$13.37

SLEEVE STABILITY 5Dx100L CB5LT

Facility

$80.00

Hospital Charge Code	270641083
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SLEEVE STABILITY 5Dx100L CB5LT

Facility

$80.00

Hospital Charge Code	270641083
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.00
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$16.00
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

SLEEVE STABILITY XCEL 5mm

Facility

$381.90

Hospital Charge Code	270655638
Hospital Revenue Code	271
Min. Negotiated Rate	$57.28
Max. Negotiated Rate	$57.28
Rate for Payer: Qualcare PPO/HMO/WC	$57.28

SLEEVE STABILITY XCEL 5mm

Facility

$381.90

Hospital Charge Code	270655638
Hospital Revenue Code	271
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$190.95
Rate for Payer: Aetna Commercial	$145.12
Rate for Payer: Aetna Medicare Advantage	$114.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.38
Rate for Payer: Cigna Commercial	$190.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.57
Rate for Payer: Oxford Commercial	$76.38
Rate for Payer: Qualcare PPO/HMO/WC	$57.28
Rate for Payer: UnitedHealthcare Commercial	$76.38
Rate for Payer: UnitedHealthcare Community & State	$9.20
Rate for Payer: Wellpoint Medicaid Managed Care	$10.12

SLEEVE SUCTION 165 MM

Facility

$207.40

Hospital Charge Code	270689275
Hospital Revenue Code	272
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$31.11
Rate for Payer: Qualcare PPO/HMO/WC	$31.11

SLEEVE SUCTION 165 MM

Facility

$207.40

Hospital Charge Code	270689275
Hospital Revenue Code	272
Min. Negotiated Rate	$5.00
Max. Negotiated Rate	$103.70
Rate for Payer: Aetna Commercial	$78.81
Rate for Payer: Aetna Medicare Advantage	$62.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.89
Rate for Payer: Cigna Commercial	$103.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.22
Rate for Payer: Oxford Commercial	$41.48
Rate for Payer: Qualcare PPO/HMO/WC	$31.11
Rate for Payer: UnitedHealthcare Commercial	$41.48
Rate for Payer: UnitedHealthcare Community & State	$5.00
Rate for Payer: Wellpoint Medicaid Managed Care	$5.50

SLEEVE SWAN GANZ

Facility

$34.30

Hospital Charge Code	2709002931
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$17.15
Rate for Payer: Aetna Commercial	$13.03
Rate for Payer: Aetna Medicare Advantage	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.75
Rate for Payer: Cigna Commercial	$17.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.29
Rate for Payer: Oxford Commercial	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$5.14
Rate for Payer: UnitedHealthcare Commercial	$6.86
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.91

SLEEVE SWAN GANZ

Facility

$34.30

Hospital Charge Code	270661619N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$17.15
Rate for Payer: Aetna Commercial	$13.03
Rate for Payer: Aetna Medicare Advantage	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.75
Rate for Payer: Cigna Commercial	$17.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.29
Rate for Payer: Oxford Commercial	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$5.14
Rate for Payer: UnitedHealthcare Commercial	$6.86
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.91

SLEEVE SWAN GANZ

Facility

$34.30

Hospital Charge Code	2709002931
Hospital Revenue Code	272
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$5.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.14

SLEEVE SWAN GANZ

Facility

$34.30

Hospital Charge Code	270661619S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$17.15
Rate for Payer: Aetna Commercial	$13.03
Rate for Payer: Aetna Medicare Advantage	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.75
Rate for Payer: Cigna Commercial	$17.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.29
Rate for Payer: Oxford Commercial	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$5.14
Rate for Payer: UnitedHealthcare Commercial	$6.86
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.91

SLEEVE SWAN GANZ

Facility

$34.30

Hospital Charge Code	270661619N
Hospital Revenue Code	272
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$5.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.14

Know your out-of-pocket cost for care.

All Charges