Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SLINGSHOT 70DEG. UP

Facility

$1,726.50

Hospital Charge Code	270680889
Hospital Revenue Code	272
Min. Negotiated Rate	$41.61
Max. Negotiated Rate	$863.25
Rate for Payer: Aetna Commercial	$656.07
Rate for Payer: Aetna Medicare Advantage	$517.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.26
Rate for Payer: Cigna Commercial	$863.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$517.95
Rate for Payer: Oxford Commercial	$345.30
Rate for Payer: Qualcare PPO/HMO/WC	$258.98
Rate for Payer: UnitedHealthcare Commercial	$345.30
Rate for Payer: UnitedHealthcare Community & State	$41.61
Rate for Payer: Wellpoint Medicaid Managed Care	$45.75

SLINGSHOT 70DEG. UP

Facility

$1,726.50

Hospital Charge Code	270680889
Hospital Revenue Code	272
Min. Negotiated Rate	$258.98
Max. Negotiated Rate	$258.98
Rate for Payer: Qualcare PPO/HMO/WC	$258.98

SLINGSHOT CHAMPION 45 LEFT

Facility

$1,726.50

Hospital Charge Code	270683344
Hospital Revenue Code	272
Min. Negotiated Rate	$258.98
Max. Negotiated Rate	$258.98
Rate for Payer: Qualcare PPO/HMO/WC	$258.98

SLINGSHOT CHAMPION 45 LEFT

Facility

$1,726.50

Hospital Charge Code	270683344
Hospital Revenue Code	272
Min. Negotiated Rate	$41.61
Max. Negotiated Rate	$863.25
Rate for Payer: Aetna Commercial	$656.07
Rate for Payer: Aetna Medicare Advantage	$517.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.26
Rate for Payer: Cigna Commercial	$863.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$517.95
Rate for Payer: Oxford Commercial	$345.30
Rate for Payer: Qualcare PPO/HMO/WC	$258.98
Rate for Payer: UnitedHealthcare Commercial	$345.30
Rate for Payer: UnitedHealthcare Community & State	$41.61
Rate for Payer: Wellpoint Medicaid Managed Care	$45.75

SLINGSHOT CHAMPION 45 UP

Facility

$1,726.50

Hospital Charge Code	270683345
Hospital Revenue Code	272
Min. Negotiated Rate	$41.61
Max. Negotiated Rate	$863.25
Rate for Payer: Aetna Commercial	$656.07
Rate for Payer: Aetna Medicare Advantage	$517.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$440.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$440.26
Rate for Payer: Cigna Commercial	$863.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$517.95
Rate for Payer: Oxford Commercial	$345.30
Rate for Payer: Qualcare PPO/HMO/WC	$258.98
Rate for Payer: UnitedHealthcare Commercial	$345.30
Rate for Payer: UnitedHealthcare Community & State	$41.61
Rate for Payer: Wellpoint Medicaid Managed Care	$45.75

SLINGSHOT CHAMPION 45 UP

Facility

$1,726.50

Hospital Charge Code	270683345
Hospital Revenue Code	272
Min. Negotiated Rate	$258.98
Max. Negotiated Rate	$258.98
Rate for Payer: Qualcare PPO/HMO/WC	$258.98

SLING SMALL CHILD

Facility

$10.28

Hospital Charge Code	270302925
Hospital Revenue Code	270
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.14
Rate for Payer: Aetna Commercial	$3.91
Rate for Payer: Aetna Medicare Advantage	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.62
Rate for Payer: Cigna Commercial	$5.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.08
Rate for Payer: Oxford Commercial	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$2.06
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

SLING SMALL CHILD

Facility

$10.28

Hospital Charge Code	270302925
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

SLING SUSPENSION 6X8CM 93-7268

Facility

$3,793.65

Hospital Charge Code	270611962
Hospital Revenue Code	278
Min. Negotiated Rate	$569.05
Max. Negotiated Rate	$918.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$758.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$834.60
Rate for Payer: Qualcare PPO/HMO/WC	$569.05

SLING SUSPENSION 6X8CM 93-7268

Facility

$3,793.65

Hospital Charge Code	270611962
Hospital Revenue Code	278
Min. Negotiated Rate	$91.43
Max. Negotiated Rate	$1,896.83
Rate for Payer: Aetna Commercial	$1,441.59
Rate for Payer: Aetna Medicare Advantage	$1,138.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$758.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.38
Rate for Payer: Cigna Commercial	$1,896.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$834.60
Rate for Payer: Qualcare PPO/HMO/WC	$569.05
Rate for Payer: UnitedHealthcare Community & State	$91.43
Rate for Payer: Wellpoint Medicaid Managed Care	$100.53

SLING SWATHE SEMI-UNIV. LARGE

Facility

$154.00

Hospital Charge Code	270331192
Hospital Revenue Code	272
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$58.52
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.20
Rate for Payer: Oxford Commercial	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$30.80
Rate for Payer: UnitedHealthcare Community & State	$3.71
Rate for Payer: Wellpoint Medicaid Managed Care	$4.08

SLING SWATHE SEMI-UNIV. LARGE

Facility

$154.00

Hospital Charge Code	270331192
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

SLING SYSTEM TRN OPER 72403830

Facility

$4,935.25

Hospital Charge Code	270630687
Hospital Revenue Code	278
Min. Negotiated Rate	$118.94
Max. Negotiated Rate	$2,467.62
Rate for Payer: Aetna Commercial	$1,875.39
Rate for Payer: Aetna Medicare Advantage	$1,480.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,258.49
Rate for Payer: Cigna Commercial	$2,467.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,085.76
Rate for Payer: Qualcare PPO/HMO/WC	$740.29
Rate for Payer: UnitedHealthcare Community & State	$118.94
Rate for Payer: Wellpoint Medicaid Managed Care	$130.78

SLING SYSTEM TRN OPER 72403830

Facility

$4,935.25

Hospital Charge Code	270630687
Hospital Revenue Code	278
Min. Negotiated Rate	$740.29
Max. Negotiated Rate	$1,194.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,085.76
Rate for Payer: Qualcare PPO/HMO/WC	$740.29

SLING TRIANGLE

Facility

$3,064.85

Hospital Charge Code	270607868
Hospital Revenue Code	278
Min. Negotiated Rate	$459.73
Max. Negotiated Rate	$741.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$612.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$674.27
Rate for Payer: Qualcare PPO/HMO/WC	$459.73

SLING TRIANGLE

Facility

$3,064.85

Hospital Charge Code	270607868
Hospital Revenue Code	278
Min. Negotiated Rate	$73.86
Max. Negotiated Rate	$1,532.42
Rate for Payer: Aetna Commercial	$1,164.64
Rate for Payer: Aetna Medicare Advantage	$919.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$612.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$781.54
Rate for Payer: Cigna Commercial	$1,532.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$741.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$674.27
Rate for Payer: Qualcare PPO/HMO/WC	$459.73
Rate for Payer: UnitedHealthcare Community & State	$73.86
Rate for Payer: Wellpoint Medicaid Managed Care	$81.22

SLING ULTRA LARGE SUB

Facility

$163.85

Hospital Charge Code	270659517
Hospital Revenue Code	270
Min. Negotiated Rate	$24.58
Max. Negotiated Rate	$24.58
Rate for Payer: Qualcare PPO/HMO/WC	$24.58

SLING ULTRA LARGE SUB

Facility

$163.85

Hospital Charge Code	270659517
Hospital Revenue Code	270
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$81.92
Rate for Payer: Aetna Commercial	$62.26
Rate for Payer: Aetna Medicare Advantage	$49.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.78
Rate for Payer: Cigna Commercial	$81.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.16
Rate for Payer: Oxford Commercial	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$24.58
Rate for Payer: UnitedHealthcare Commercial	$32.77
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

SLING ULTRA SMALL SUB

Facility

$163.85

Hospital Charge Code	270659515
Hospital Revenue Code	270
Min. Negotiated Rate	$24.58
Max. Negotiated Rate	$24.58
Rate for Payer: Qualcare PPO/HMO/WC	$24.58

SLING ULTRA SMALL SUB

Facility

$163.85

Hospital Charge Code	270659515
Hospital Revenue Code	270
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$81.92
Rate for Payer: Aetna Commercial	$62.26
Rate for Payer: Aetna Medicare Advantage	$49.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.78
Rate for Payer: Cigna Commercial	$81.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.16
Rate for Payer: Oxford Commercial	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$24.58
Rate for Payer: UnitedHealthcare Commercial	$32.77
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

SLING URETEX 485013

Facility

$3,025.00

Hospital Charge Code	270637073
Hospital Revenue Code	278
Min. Negotiated Rate	$453.75
Max. Negotiated Rate	$732.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75

SLING URETEX 485013

Facility

$3,025.00

Hospital Charge Code	270637073
Hospital Revenue Code	278
Min. Negotiated Rate	$72.90
Max. Negotiated Rate	$1,512.50
Rate for Payer: Aetna Commercial	$1,149.50
Rate for Payer: Aetna Medicare Advantage	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.38
Rate for Payer: Cigna Commercial	$1,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$453.75
Rate for Payer: UnitedHealthcare Community & State	$72.90
Rate for Payer: Wellpoint Medicaid Managed Care	$80.16

SLING X-LARGE

Facility

$10.28

Hospital Charge Code	270302930
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

SLING X-LARGE

Facility

$10.28

Hospital Charge Code	270302930
Hospital Revenue Code	270
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.14
Rate for Payer: Aetna Commercial	$3.91
Rate for Payer: Aetna Medicare Advantage	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.62
Rate for Payer: Cigna Commercial	$5.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.08
Rate for Payer: Oxford Commercial	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$2.06
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

SLIN OBTR TRANSOBT M0068505000

Facility

$6,025.00

Service Code	HCPCS C1771
Hospital Charge Code	270639751
Hospital Revenue Code	278
Min. Negotiated Rate	$903.75
Max. Negotiated Rate	$1,458.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,325.50
Rate for Payer: Qualcare PPO/HMO/WC	$903.75

Know your out-of-pocket cost for care.

All Charges