Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STAPLE OS 9X7

Facility

$4,475.00

Hospital Charge Code	270659064
Hospital Revenue Code	272
Min. Negotiated Rate	$107.85
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,700.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,342.50
Rate for Payer: Oxford Commercial	$895.00
Rate for Payer: Qualcare PPO/HMO/WC	$671.25
Rate for Payer: UnitedHealthcare Commercial	$895.00
Rate for Payer: UnitedHealthcare Community & State	$107.85
Rate for Payer: Wellpoint Medicaid Managed Care	$118.59

STAPLE OS 9X7

Facility

$4,475.00

Hospital Charge Code	270659064
Hospital Revenue Code	272
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$671.25
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

STAPLER

Facility

$4,475.00

Hospital Charge Code	270656975
Hospital Revenue Code	272
Min. Negotiated Rate	$107.85
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,700.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,342.50
Rate for Payer: Oxford Commercial	$895.00
Rate for Payer: Qualcare PPO/HMO/WC	$671.25
Rate for Payer: UnitedHealthcare Commercial	$895.00
Rate for Payer: UnitedHealthcare Community & State	$107.85
Rate for Payer: Wellpoint Medicaid Managed Care	$118.59

STAPLER

Facility

$4,475.00

Hospital Charge Code	270656975
Hospital Revenue Code	272
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$671.25
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

STAPLER 106MM H 3.8MM

Facility

$1,250.30

Hospital Charge Code	270697918
Hospital Revenue Code	272
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$625.15
Rate for Payer: Aetna Commercial	$475.11
Rate for Payer: Aetna Medicare Advantage	$375.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.83
Rate for Payer: Cigna Commercial	$625.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.09
Rate for Payer: Oxford Commercial	$250.06
Rate for Payer: Qualcare PPO/HMO/WC	$187.54
Rate for Payer: UnitedHealthcare Commercial	$250.06
Rate for Payer: UnitedHealthcare Community & State	$30.13
Rate for Payer: Wellpoint Medicaid Managed Care	$33.13

STAPLER 106MM H 3.8MM

Facility

$1,250.30

Hospital Charge Code	270697918
Hospital Revenue Code	272
Min. Negotiated Rate	$187.54
Max. Negotiated Rate	$187.54
Rate for Payer: Qualcare PPO/HMO/WC	$187.54

STAPLER 25MM SINGLE USE

Facility

$1,434.02

Hospital Charge Code	270658622
Hospital Revenue Code	272
Min. Negotiated Rate	$34.56
Max. Negotiated Rate	$717.01
Rate for Payer: Aetna Commercial	$544.93
Rate for Payer: Aetna Medicare Advantage	$430.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$365.68
Rate for Payer: Cigna Commercial	$717.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$430.21
Rate for Payer: Oxford Commercial	$286.80
Rate for Payer: Qualcare PPO/HMO/WC	$215.10
Rate for Payer: UnitedHealthcare Commercial	$286.80
Rate for Payer: UnitedHealthcare Community & State	$34.56
Rate for Payer: Wellpoint Medicaid Managed Care	$38.00

STAPLER 25MM SINGLE USE

Facility

$1,434.02

Hospital Charge Code	270658622
Hospital Revenue Code	272
Min. Negotiated Rate	$215.10
Max. Negotiated Rate	$215.10
Rate for Payer: Qualcare PPO/HMO/WC	$215.10

STAPLER 25MM USE W/3.5MM SNGL

Facility

$1,829.63

Hospital Charge Code	270641794
Hospital Revenue Code	272
Min. Negotiated Rate	$274.44
Max. Negotiated Rate	$274.44
Rate for Payer: Qualcare PPO/HMO/WC	$274.44

STAPLER 25MM USE W/3.5MM SNGL

Facility

$1,829.63

Hospital Charge Code	270641794
Hospital Revenue Code	272
Min. Negotiated Rate	$44.09
Max. Negotiated Rate	$914.82
Rate for Payer: Aetna Commercial	$695.26
Rate for Payer: Aetna Medicare Advantage	$548.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$466.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$466.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$466.56
Rate for Payer: Cigna Commercial	$914.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$548.89
Rate for Payer: Oxford Commercial	$365.93
Rate for Payer: Qualcare PPO/HMO/WC	$274.44
Rate for Payer: UnitedHealthcare Commercial	$365.93
Rate for Payer: UnitedHealthcare Community & State	$44.09
Rate for Payer: Wellpoint Medicaid Managed Care	$48.49

STAPLER 28MM SINGLE USE

Facility

$1,434.02

Hospital Charge Code	270641888
Hospital Revenue Code	272
Min. Negotiated Rate	$215.10
Max. Negotiated Rate	$215.10
Rate for Payer: Qualcare PPO/HMO/WC	$215.10

STAPLER 28MM SINGLE USE

Facility

$1,434.02

Hospital Charge Code	270641888
Hospital Revenue Code	272
Min. Negotiated Rate	$34.56
Max. Negotiated Rate	$717.01
Rate for Payer: Aetna Commercial	$544.93
Rate for Payer: Aetna Medicare Advantage	$430.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$365.68
Rate for Payer: Cigna Commercial	$717.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$430.21
Rate for Payer: Oxford Commercial	$286.80
Rate for Payer: Qualcare PPO/HMO/WC	$215.10
Rate for Payer: UnitedHealthcare Commercial	$286.80
Rate for Payer: UnitedHealthcare Community & State	$34.56
Rate for Payer: Wellpoint Medicaid Managed Care	$38.00

STAPLER 33MM SINGLE USE

Facility

$1,577.43

Hospital Charge Code	270668368
Hospital Revenue Code	272
Min. Negotiated Rate	$236.61
Max. Negotiated Rate	$236.61
Rate for Payer: Qualcare PPO/HMO/WC	$236.61

STAPLER 33MM SINGLE USE

Facility

$1,577.43

Hospital Charge Code	270668368
Hospital Revenue Code	272
Min. Negotiated Rate	$38.02
Max. Negotiated Rate	$788.72
Rate for Payer: Aetna Commercial	$599.42
Rate for Payer: Aetna Medicare Advantage	$473.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.24
Rate for Payer: Cigna Commercial	$788.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$473.23
Rate for Payer: Oxford Commercial	$315.49
Rate for Payer: Qualcare PPO/HMO/WC	$236.61
Rate for Payer: UnitedHealthcare Commercial	$315.49
Rate for Payer: UnitedHealthcare Community & State	$38.02
Rate for Payer: Wellpoint Medicaid Managed Care	$41.80

STAPLER 45 BLUE RELOAD ENDO

Facility

$900.00

Hospital Charge Code	270674977
Hospital Revenue Code	272
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

STAPLER 45 BLUE RELOAD ENDO

Facility

$900.00

Hospital Charge Code	270674977
Hospital Revenue Code	272
Min. Negotiated Rate	$21.69
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.00
Rate for Payer: Oxford Commercial	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Commercial	$180.00
Rate for Payer: UnitedHealthcare Community & State	$21.69
Rate for Payer: Wellpoint Medicaid Managed Care	$23.85

STAPLER 45 GREEN RELOAD ENDO

Facility

$900.00

Hospital Charge Code	270674976
Hospital Revenue Code	272
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

STAPLER 45 GREEN RELOAD ENDO

Facility

$900.00

Hospital Charge Code	270674976
Hospital Revenue Code	272
Min. Negotiated Rate	$21.69
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.00
Rate for Payer: Oxford Commercial	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Commercial	$180.00
Rate for Payer: UnitedHealthcare Community & State	$21.69
Rate for Payer: Wellpoint Medicaid Managed Care	$23.85

STAPLER 45 INSTRUMENT ENDO

Facility

$35,000.00

Hospital Charge Code	270674974
Hospital Revenue Code	272
Min. Negotiated Rate	$843.50
Max. Negotiated Rate	$17,500.00
Rate for Payer: Aetna Commercial	$13,300.00
Rate for Payer: Aetna Medicare Advantage	$10,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,925.00
Rate for Payer: Cigna Commercial	$17,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,500.00
Rate for Payer: Oxford Commercial	$7,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,250.00
Rate for Payer: UnitedHealthcare Commercial	$7,000.00
Rate for Payer: UnitedHealthcare Community & State	$843.50
Rate for Payer: Wellpoint Medicaid Managed Care	$927.50

STAPLER 45 INSTRUMENT ENDO

Facility

$35,000.00

Hospital Charge Code	270674974
Hospital Revenue Code	272
Min. Negotiated Rate	$5,250.00
Max. Negotiated Rate	$5,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,250.00

STAPLER 45 MM BLACK ENDO GIA

Facility

$3,776.81

Hospital Charge Code	270691807
Hospital Revenue Code	272
Min. Negotiated Rate	$566.52
Max. Negotiated Rate	$566.52
Rate for Payer: Qualcare PPO/HMO/WC	$566.52

STAPLER 45 MM BLACK ENDO GIA

Facility

$3,776.81

Hospital Charge Code	270691807
Hospital Revenue Code	272
Min. Negotiated Rate	$91.02
Max. Negotiated Rate	$1,888.40
Rate for Payer: Aetna Commercial	$1,435.19
Rate for Payer: Aetna Medicare Advantage	$1,133.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$963.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$963.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$963.09
Rate for Payer: Cigna Commercial	$1,888.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,133.04
Rate for Payer: Oxford Commercial	$755.36
Rate for Payer: Qualcare PPO/HMO/WC	$566.52
Rate for Payer: UnitedHealthcare Commercial	$755.36
Rate for Payer: UnitedHealthcare Community & State	$91.02
Rate for Payer: Wellpoint Medicaid Managed Care	$100.09

STAPLER 60 MM PUPLE

Facility

$3,471.52

Hospital Charge Code	270691806
Hospital Revenue Code	272
Min. Negotiated Rate	$83.66
Max. Negotiated Rate	$1,735.76
Rate for Payer: Aetna Commercial	$1,319.18
Rate for Payer: Aetna Medicare Advantage	$1,041.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$885.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$885.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$885.24
Rate for Payer: Cigna Commercial	$1,735.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,041.46
Rate for Payer: Oxford Commercial	$694.30
Rate for Payer: Qualcare PPO/HMO/WC	$520.73
Rate for Payer: UnitedHealthcare Commercial	$694.30
Rate for Payer: UnitedHealthcare Community & State	$83.66
Rate for Payer: Wellpoint Medicaid Managed Care	$92.00

STAPLER 60 MM PUPLE

Facility

$3,471.52

Hospital Charge Code	270691806
Hospital Revenue Code	272
Min. Negotiated Rate	$520.73
Max. Negotiated Rate	$520.73
Rate for Payer: Qualcare PPO/HMO/WC	$520.73

STAPLER APPOSE ULC SKIN 35MM

Facility

$35.56

Hospital Charge Code	270698006
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$17.78
Rate for Payer: Aetna Commercial	$13.51
Rate for Payer: Aetna Medicare Advantage	$10.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.07
Rate for Payer: Cigna Commercial	$17.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.67
Rate for Payer: Oxford Commercial	$7.11
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$7.11
Rate for Payer: UnitedHealthcare Community & State	$0.86
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

Know your out-of-pocket cost for care.

All Charges