Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER APPOSE ULC SKIN 35MM

Facility

$35.56

Hospital Charge Code	270698006
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

STAPLER ARTICULATING 60 MM END

Facility

$2,886.96

Hospital Charge Code	270691809
Hospital Revenue Code	272
Min. Negotiated Rate	$69.58
Max. Negotiated Rate	$1,443.48
Rate for Payer: Aetna Commercial	$1,097.04
Rate for Payer: Aetna Medicare Advantage	$866.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$736.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$736.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$736.17
Rate for Payer: Cigna Commercial	$1,443.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$866.09
Rate for Payer: Oxford Commercial	$577.39
Rate for Payer: Qualcare PPO/HMO/WC	$433.04
Rate for Payer: UnitedHealthcare Commercial	$577.39
Rate for Payer: UnitedHealthcare Community & State	$69.58
Rate for Payer: Wellpoint Medicaid Managed Care	$76.50

STAPLER ARTICULATING 60 MM END

Facility

$2,886.96

Hospital Charge Code	270691809
Hospital Revenue Code	272
Min. Negotiated Rate	$433.04
Max. Negotiated Rate	$433.04
Rate for Payer: Qualcare PPO/HMO/WC	$433.04

STAPLER ATC ENDO35 3.5BL ATB35

Facility

$1,206.90

Hospital Charge Code	270608735
Hospital Revenue Code	272
Min. Negotiated Rate	$29.09
Max. Negotiated Rate	$603.45
Rate for Payer: Aetna Commercial	$458.62
Rate for Payer: Aetna Medicare Advantage	$362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.76
Rate for Payer: Cigna Commercial	$603.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.07
Rate for Payer: Oxford Commercial	$241.38
Rate for Payer: Qualcare PPO/HMO/WC	$181.03
Rate for Payer: UnitedHealthcare Commercial	$241.38
Rate for Payer: UnitedHealthcare Community & State	$29.09
Rate for Payer: Wellpoint Medicaid Managed Care	$31.98

STAPLER ATC ENDO35 3.5BL ATB35

Facility

$1,206.90

Hospital Charge Code	270608735
Hospital Revenue Code	272
Min. Negotiated Rate	$181.03
Max. Negotiated Rate	$181.03
Rate for Payer: Qualcare PPO/HMO/WC	$181.03

STAPLER ATC ENDO ATW35

Facility

$2,436.00

Hospital Charge Code	270608382
Hospital Revenue Code	272
Min. Negotiated Rate	$365.40
Max. Negotiated Rate	$365.40
Rate for Payer: Qualcare PPO/HMO/WC	$365.40

STAPLER ATC ENDO ATW35

Facility

$2,436.00

Hospital Charge Code	270608382
Hospital Revenue Code	272
Min. Negotiated Rate	$58.71
Max. Negotiated Rate	$1,218.00
Rate for Payer: Aetna Commercial	$925.68
Rate for Payer: Aetna Medicare Advantage	$730.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$621.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$621.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$621.18
Rate for Payer: Cigna Commercial	$1,218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.80
Rate for Payer: Oxford Commercial	$487.20
Rate for Payer: Qualcare PPO/HMO/WC	$365.40
Rate for Payer: UnitedHealthcare Commercial	$487.20
Rate for Payer: UnitedHealthcare Community & State	$58.71
Rate for Payer: Wellpoint Medicaid Managed Care	$64.55

STAPLER AUTOSUTURE EEA 21 XL

Facility

$1,874.45

Hospital Charge Code	270665494
Hospital Revenue Code	272
Min. Negotiated Rate	$281.17
Max. Negotiated Rate	$281.17
Rate for Payer: Qualcare PPO/HMO/WC	$281.17

STAPLER AUTOSUTURE EEA 21 XL

Facility

$1,874.45

Hospital Charge Code	270665494
Hospital Revenue Code	272
Min. Negotiated Rate	$45.17
Max. Negotiated Rate	$937.23
Rate for Payer: Aetna Commercial	$712.29
Rate for Payer: Aetna Medicare Advantage	$562.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$477.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$477.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$477.98
Rate for Payer: Cigna Commercial	$937.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.34
Rate for Payer: Oxford Commercial	$374.89
Rate for Payer: Qualcare PPO/HMO/WC	$281.17
Rate for Payer: UnitedHealthcare Commercial	$374.89
Rate for Payer: UnitedHealthcare Community & State	$45.17
Rate for Payer: Wellpoint Medicaid Managed Care	$49.67

STAPLER AUTOSUTURE EEA 25 XL

Facility

$1,874.45

Hospital Charge Code	270665490
Hospital Revenue Code	272
Min. Negotiated Rate	$281.17
Max. Negotiated Rate	$281.17
Rate for Payer: Qualcare PPO/HMO/WC	$281.17

STAPLER AUTOSUTURE EEA 25 XL

Facility

$1,874.45

Hospital Charge Code	270665490
Hospital Revenue Code	272
Min. Negotiated Rate	$45.17
Max. Negotiated Rate	$937.23
Rate for Payer: Aetna Commercial	$712.29
Rate for Payer: Aetna Medicare Advantage	$562.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$477.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$477.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$477.98
Rate for Payer: Cigna Commercial	$937.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.34
Rate for Payer: Oxford Commercial	$374.89
Rate for Payer: Qualcare PPO/HMO/WC	$281.17
Rate for Payer: UnitedHealthcare Commercial	$374.89
Rate for Payer: UnitedHealthcare Community & State	$45.17
Rate for Payer: Wellpoint Medicaid Managed Care	$49.67

STAPLER BLUE RELOAD FOR ECH 60

Facility

$711.74

Hospital Charge Code	270661372
Hospital Revenue Code	272
Min. Negotiated Rate	$17.15
Max. Negotiated Rate	$355.87
Rate for Payer: Aetna Commercial	$270.46
Rate for Payer: Aetna Medicare Advantage	$213.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.49
Rate for Payer: Cigna Commercial	$355.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.52
Rate for Payer: Oxford Commercial	$142.35
Rate for Payer: Qualcare PPO/HMO/WC	$106.76
Rate for Payer: UnitedHealthcare Commercial	$142.35
Rate for Payer: UnitedHealthcare Community & State	$17.15
Rate for Payer: Wellpoint Medicaid Managed Care	$18.86

STAPLER BLUE RELOAD FOR ECH 60

Facility

$711.74

Hospital Charge Code	270661372
Hospital Revenue Code	272
Min. Negotiated Rate	$106.76
Max. Negotiated Rate	$106.76
Rate for Payer: Qualcare PPO/HMO/WC	$106.76

STAPLER CANNULA KIT

Facility

$10,150.00

Hospital Charge Code	270674975
Hospital Revenue Code	272
Min. Negotiated Rate	$1,522.50
Max. Negotiated Rate	$1,522.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,522.50

STAPLER CANNULA KIT

Facility

$10,150.00

Hospital Charge Code	270674975
Hospital Revenue Code	272
Min. Negotiated Rate	$244.62
Max. Negotiated Rate	$5,075.00
Rate for Payer: Aetna Commercial	$3,857.00
Rate for Payer: Aetna Medicare Advantage	$3,045.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,588.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,588.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,588.25
Rate for Payer: Cigna Commercial	$5,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.00
Rate for Payer: Oxford Commercial	$2,030.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,522.50
Rate for Payer: UnitedHealthcare Commercial	$2,030.00
Rate for Payer: UnitedHealthcare Community & State	$244.62
Rate for Payer: Wellpoint Medicaid Managed Care	$268.98

STAPLER CANNULA REDUCER 12-8MM

Facility

$750.00

Hospital Charge Code	270675204
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

STAPLER CANNULA REDUCER 12-8MM

Facility

$750.00

Hospital Charge Code	270675204
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

STAPLER CANNULA SEAL ENDO

Facility

$1,000.00

Hospital Charge Code	270674978
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

STAPLER CANNULA SEAL ENDO

Facility

$1,000.00

Hospital Charge Code	270674978
Hospital Revenue Code	272
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

STAPLER CEEA 21

Facility

$972.68

Hospital Charge Code	2700600131
Hospital Revenue Code	272
Min. Negotiated Rate	$145.90
Max. Negotiated Rate	$145.90
Rate for Payer: Qualcare PPO/HMO/WC	$145.90

STAPLER CEEA 21

Facility

$972.68

Hospital Charge Code	2700600131
Hospital Revenue Code	272
Min. Negotiated Rate	$23.44
Max. Negotiated Rate	$486.34
Rate for Payer: Aetna Commercial	$369.62
Rate for Payer: Aetna Medicare Advantage	$291.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.03
Rate for Payer: Cigna Commercial	$486.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.80
Rate for Payer: Oxford Commercial	$194.54
Rate for Payer: Qualcare PPO/HMO/WC	$145.90
Rate for Payer: UnitedHealthcare Commercial	$194.54
Rate for Payer: UnitedHealthcare Community & State	$23.44
Rate for Payer: Wellpoint Medicaid Managed Care	$25.78

STAPLER CEEA PREMIUM 25 WHITE

Facility

$1,709.30

Hospital Charge Code	270658674
Hospital Revenue Code	272
Min. Negotiated Rate	$41.19
Max. Negotiated Rate	$854.65
Rate for Payer: Aetna Commercial	$649.53
Rate for Payer: Aetna Medicare Advantage	$512.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.87
Rate for Payer: Cigna Commercial	$854.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$512.79
Rate for Payer: Oxford Commercial	$341.86
Rate for Payer: Qualcare PPO/HMO/WC	$256.39
Rate for Payer: UnitedHealthcare Commercial	$341.86
Rate for Payer: UnitedHealthcare Community & State	$41.19
Rate for Payer: Wellpoint Medicaid Managed Care	$45.30

STAPLER CEEA PREMIUM 25 WHITE

Facility

$1,709.30

Hospital Charge Code	270658674
Hospital Revenue Code	272
Min. Negotiated Rate	$256.39
Max. Negotiated Rate	$256.39
Rate for Payer: Qualcare PPO/HMO/WC	$256.39

STAPLER CEEA PREMIUM 28 BLUE

Facility

$1,709.35

Hospital Charge Code	270658675
Hospital Revenue Code	272
Min. Negotiated Rate	$256.40
Max. Negotiated Rate	$256.40
Rate for Payer: Qualcare PPO/HMO/WC	$256.40

STAPLER CEEA PREMIUM 28 BLUE

Facility

$1,709.35

Hospital Charge Code	270658675
Hospital Revenue Code	272
Min. Negotiated Rate	$41.20
Max. Negotiated Rate	$854.67
Rate for Payer: Aetna Commercial	$649.55
Rate for Payer: Aetna Medicare Advantage	$512.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.88
Rate for Payer: Cigna Commercial	$854.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$512.80
Rate for Payer: Oxford Commercial	$341.87
Rate for Payer: Qualcare PPO/HMO/WC	$256.40
Rate for Payer: UnitedHealthcare Commercial	$341.87
Rate for Payer: UnitedHealthcare Community & State	$41.20
Rate for Payer: Wellpoint Medicaid Managed Care	$45.30

Know your out-of-pocket cost for care.

All Charges