Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SLING MCV TISSUE 2X4 820240

Facility

$2,681.65

Hospital Charge Code	270618554
Hospital Revenue Code	278
Min. Negotiated Rate	$402.25
Max. Negotiated Rate	$648.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$536.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$648.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$589.96
Rate for Payer: Qualcare PPO/HMO/WC	$402.25

SLING MCV TISSUE 3X7 820242

Facility

$2,595.25

Hospital Charge Code	270618602
Hospital Revenue Code	278
Min. Negotiated Rate	$62.55
Max. Negotiated Rate	$1,297.62
Rate for Payer: Aetna Commercial	$986.20
Rate for Payer: Aetna Medicare Advantage	$778.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$661.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$661.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$661.79
Rate for Payer: Cigna Commercial	$1,297.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$628.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.96
Rate for Payer: Qualcare PPO/HMO/WC	$389.29
Rate for Payer: UnitedHealthcare Community & State	$62.55
Rate for Payer: Wellpoint Medicaid Managed Care	$68.77

SLING MCV TISSUE 3X7 820242

Facility

$2,595.25

Hospital Charge Code	270618602
Hospital Revenue Code	278
Min. Negotiated Rate	$389.29
Max. Negotiated Rate	$628.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$628.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.96
Rate for Payer: Qualcare PPO/HMO/WC	$389.29

SLING MCV TRANSVAG 4 12 820348

Facility

$2,399.25

Hospital Charge Code	270621603
Hospital Revenue Code	278
Min. Negotiated Rate	$57.82
Max. Negotiated Rate	$1,199.62
Rate for Payer: Aetna Commercial	$911.72
Rate for Payer: Aetna Medicare Advantage	$719.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$611.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$611.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$611.81
Rate for Payer: Cigna Commercial	$1,199.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$527.84
Rate for Payer: Qualcare PPO/HMO/WC	$359.89
Rate for Payer: UnitedHealthcare Community & State	$57.82
Rate for Payer: Wellpoint Medicaid Managed Care	$63.58

SLING MCV TRANSVAG 4 12 820348

Facility

$2,399.25

Hospital Charge Code	270621603
Hospital Revenue Code	278
Min. Negotiated Rate	$359.89
Max. Negotiated Rate	$580.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$479.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$527.84
Rate for Payer: Qualcare PPO/HMO/WC	$359.89

SLING MEDIUM YOUTH

Facility

$123.30

Hospital Charge Code	270302920
Hospital Revenue Code	270
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$61.65
Rate for Payer: Aetna Commercial	$46.85
Rate for Payer: Aetna Medicare Advantage	$36.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.44
Rate for Payer: Cigna Commercial	$61.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.99
Rate for Payer: Oxford Commercial	$24.66
Rate for Payer: Qualcare PPO/HMO/WC	$18.50
Rate for Payer: UnitedHealthcare Commercial	$24.66
Rate for Payer: UnitedHealthcare Community & State	$2.97
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

SLING MEDIUM YOUTH

Facility

$123.30

Hospital Charge Code	270302920
Hospital Revenue Code	270
Min. Negotiated Rate	$18.50
Max. Negotiated Rate	$18.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.50

SLING MID URETH SUPRAPU LYNX

Facility

$9,021.55

Service Code	HCPCS C1771
Hospital Charge Code	270690234
Hospital Revenue Code	278
Min. Negotiated Rate	$1,353.23
Max. Negotiated Rate	$2,183.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,804.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,183.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,984.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,353.23

SLING MID URETH SUPRAPU LYNX

Facility

$9,021.55

Service Code	HCPCS C1771
Hospital Charge Code	270690234
Hospital Revenue Code	278
Min. Negotiated Rate	$217.42
Max. Negotiated Rate	$4,510.77
Rate for Payer: Aetna Commercial	$3,428.19
Rate for Payer: Aetna Medicare Advantage	$2,706.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,804.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,300.50
Rate for Payer: Cigna Commercial	$4,510.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,183.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,984.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,353.23
Rate for Payer: UnitedHealthcare Community & State	$217.42
Rate for Payer: Wellpoint Medicaid Managed Care	$239.07

SLING MINIARC

Facility

$3,450.00

Service Code	HCPCS C1771
Hospital Charge Code	270669201
Hospital Revenue Code	278
Min. Negotiated Rate	$517.50
Max. Negotiated Rate	$834.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$517.50

SLING MINIARC

Facility

$3,450.00

Service Code	HCPCS C1771
Hospital Charge Code	270669201
Hospital Revenue Code	278
Min. Negotiated Rate	$83.14
Max. Negotiated Rate	$1,725.00
Rate for Payer: Aetna Commercial	$1,311.00
Rate for Payer: Aetna Medicare Advantage	$1,035.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.75
Rate for Payer: Cigna Commercial	$1,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$759.00
Rate for Payer: Qualcare PPO/HMO/WC	$517.50
Rate for Payer: UnitedHealthcare Community & State	$83.14
Rate for Payer: Wellpoint Medicaid Managed Care	$91.42

SLING MONARC C

Facility

$6,745.00

Hospital Charge Code	270667384
Hospital Revenue Code	278
Min. Negotiated Rate	$162.55
Max. Negotiated Rate	$3,372.50
Rate for Payer: Aetna Commercial	$2,563.10
Rate for Payer: Aetna Medicare Advantage	$2,023.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,719.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,719.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,349.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,719.97
Rate for Payer: Cigna Commercial	$3,372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,632.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,483.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.75
Rate for Payer: UnitedHealthcare Community & State	$162.55
Rate for Payer: Wellpoint Medicaid Managed Care	$178.74

SLING MONARC C

Facility

$6,745.00

Hospital Charge Code	270667384
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.75
Max. Negotiated Rate	$1,632.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,349.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,632.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,483.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.75

SLING MONARC PLUS

Facility

$4,975.00

Hospital Charge Code	270637659
Hospital Revenue Code	272
Min. Negotiated Rate	$119.90
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,890.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,492.50
Rate for Payer: Oxford Commercial	$995.00
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$995.00
Rate for Payer: UnitedHealthcare Community & State	$119.90
Rate for Payer: Wellpoint Medicaid Managed Care	$131.84

SLING MONARC PLUS

Facility

$4,975.00

Hospital Charge Code	270637659
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

SLING MUSLIN *************

Facility

$23.00

Hospital Charge Code	8001562
Hospital Revenue Code	279
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

SLING MUSLIN *************

Facility

$23.00

Hospital Charge Code	8001562
Hospital Revenue Code	279
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$8.74
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Oxford Commercial	$4.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$4.60
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

SLING OP FRO STRESS INCONTINNC

Facility

$57,179.55

Service Code	HCPCS 57288
Hospital Charge Code	1600000398
Hospital Revenue Code	360
Min. Negotiated Rate	$8,576.93
Max. Negotiated Rate	$8,576.93
Rate for Payer: Qualcare PPO/HMO/WC	$8,576.93

SLING OP FRO STRESS INCONTINNC

Facility

$57,179.55

Service Code	HCPCS 57288
Hospital Charge Code	1600000398
Hospital Revenue Code	360
Min. Negotiated Rate	$1,378.03
Max. Negotiated Rate	$21,452.59
Rate for Payer: Aetna Commercial	$16,165.07
Rate for Payer: Aetna Medicare Advantage	$19,255.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,452.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,452.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5,943.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,742.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,452.59
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: Cigna Medicare Advantage	$5,943.04
Rate for Payer: Clover Medicare Advantage	$5,645.89
Rate for Payer: EmblemHealth Commercial	$17,829.12
Rate for Payer: Humana Medicare Advantage	$6,121.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5,943.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17,153.87
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,576.93
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$1,378.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$5,943.04
Rate for Payer: Wellcare Medicare Advantage	$5,943.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1,515.26

SLING PASSIVE CLIP LG

Facility

$155.20

Hospital Charge Code	270676410
Hospital Revenue Code	270
Min. Negotiated Rate	$23.28
Max. Negotiated Rate	$23.28
Rate for Payer: Qualcare PPO/HMO/WC	$23.28

SLING PASSIVE CLIP LG

Facility

$155.20

Hospital Charge Code	270676410
Hospital Revenue Code	270
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.60
Rate for Payer: Aetna Commercial	$58.98
Rate for Payer: Aetna Medicare Advantage	$46.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.58
Rate for Payer: Cigna Commercial	$77.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.56
Rate for Payer: Oxford Commercial	$31.04
Rate for Payer: Qualcare PPO/HMO/WC	$23.28
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

SLING PASSIVE CLIP XL

Facility

$155.20

Hospital Charge Code	270676411
Hospital Revenue Code	270
Min. Negotiated Rate	$23.28
Max. Negotiated Rate	$23.28
Rate for Payer: Qualcare PPO/HMO/WC	$23.28

SLING PASSIVE CLIP XL

Facility

$155.20

Hospital Charge Code	270676411
Hospital Revenue Code	270
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.60
Rate for Payer: Aetna Commercial	$58.98
Rate for Payer: Aetna Medicare Advantage	$46.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.58
Rate for Payer: Cigna Commercial	$77.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.56
Rate for Payer: Oxford Commercial	$31.04
Rate for Payer: Qualcare PPO/HMO/WC	$23.28
Rate for Payer: UnitedHealthcare Commercial	$31.04
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

SLING PILLOW II/ABDUCTION MED

Facility

$690.85

Hospital Charge Code	270674584
Hospital Revenue Code	272
Min. Negotiated Rate	$16.65
Max. Negotiated Rate	$345.43
Rate for Payer: Aetna Commercial	$262.52
Rate for Payer: Aetna Medicare Advantage	$207.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.17
Rate for Payer: Cigna Commercial	$345.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.25
Rate for Payer: Oxford Commercial	$138.17
Rate for Payer: Qualcare PPO/HMO/WC	$103.63
Rate for Payer: UnitedHealthcare Commercial	$138.17
Rate for Payer: UnitedHealthcare Community & State	$16.65
Rate for Payer: Wellpoint Medicaid Managed Care	$18.31

SLING PILLOW II/ABDUCTION MED

Facility

$690.85

Hospital Charge Code	270674584
Hospital Revenue Code	272
Min. Negotiated Rate	$103.63
Max. Negotiated Rate	$103.63
Rate for Payer: Qualcare PPO/HMO/WC	$103.63

Know your out-of-pocket cost for care.

All Charges