Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER CIRC 25 3.5 EEAXL2535

Facility

$1,825.00

Hospital Charge Code	270641794C
Hospital Revenue Code	272
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$273.75
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

STAPLER CIRC 25 3.5 EEAXL2535

Facility

$1,825.00

Hospital Charge Code	270641794C
Hospital Revenue Code	272
Min. Negotiated Rate	$43.98
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$693.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$547.50
Rate for Payer: Oxford Commercial	$365.00
Rate for Payer: Qualcare PPO/HMO/WC	$273.75
Rate for Payer: UnitedHealthcare Commercial	$365.00
Rate for Payer: UnitedHealthcare Community & State	$43.98
Rate for Payer: Wellpoint Medicaid Managed Care	$48.36

STAPLER CIRCULAR 21 CDH21

Facility

$4,179.25

Hospital Charge Code	270608741
Hospital Revenue Code	272
Min. Negotiated Rate	$100.72
Max. Negotiated Rate	$2,089.62
Rate for Payer: Aetna Commercial	$1,588.12
Rate for Payer: Aetna Medicare Advantage	$1,253.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,065.71
Rate for Payer: Cigna Commercial	$2,089.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,253.78
Rate for Payer: Oxford Commercial	$835.85
Rate for Payer: Qualcare PPO/HMO/WC	$626.89
Rate for Payer: UnitedHealthcare Commercial	$835.85
Rate for Payer: UnitedHealthcare Community & State	$100.72
Rate for Payer: Wellpoint Medicaid Managed Care	$110.75

STAPLER CIRCULAR 21 CDH21

Facility

$4,179.25

Hospital Charge Code	270608741
Hospital Revenue Code	272
Min. Negotiated Rate	$626.89
Max. Negotiated Rate	$626.89
Rate for Payer: Qualcare PPO/HMO/WC	$626.89

STAPLER CIRCULAR 25 CDH25

Facility

$4,179.25

Hospital Charge Code	270608742
Hospital Revenue Code	272
Min. Negotiated Rate	$100.72
Max. Negotiated Rate	$2,089.62
Rate for Payer: Aetna Commercial	$1,588.12
Rate for Payer: Aetna Medicare Advantage	$1,253.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,065.71
Rate for Payer: Cigna Commercial	$2,089.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,253.78
Rate for Payer: Oxford Commercial	$835.85
Rate for Payer: Qualcare PPO/HMO/WC	$626.89
Rate for Payer: UnitedHealthcare Commercial	$835.85
Rate for Payer: UnitedHealthcare Community & State	$100.72
Rate for Payer: Wellpoint Medicaid Managed Care	$110.75

STAPLER CIRCULAR 25 CDH25

Facility

$4,179.25

Hospital Charge Code	270608742
Hospital Revenue Code	272
Min. Negotiated Rate	$626.89
Max. Negotiated Rate	$626.89
Rate for Payer: Qualcare PPO/HMO/WC	$626.89

STAPLER CIRCULAR 33 CDH33

Facility

$4,179.25

Hospital Charge Code	270608744
Hospital Revenue Code	272
Min. Negotiated Rate	$626.89
Max. Negotiated Rate	$626.89
Rate for Payer: Qualcare PPO/HMO/WC	$626.89

STAPLER CIRCULAR 33 CDH33

Facility

$4,179.25

Hospital Charge Code	270608744
Hospital Revenue Code	272
Min. Negotiated Rate	$100.72
Max. Negotiated Rate	$2,089.62
Rate for Payer: Aetna Commercial	$1,588.12
Rate for Payer: Aetna Medicare Advantage	$1,253.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,065.71
Rate for Payer: Cigna Commercial	$2,089.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,253.78
Rate for Payer: Oxford Commercial	$835.85
Rate for Payer: Qualcare PPO/HMO/WC	$626.89
Rate for Payer: UnitedHealthcare Commercial	$835.85
Rate for Payer: UnitedHealthcare Community & State	$100.72
Rate for Payer: Wellpoint Medicaid Managed Care	$110.75

STAPLER CIRCULAR CRVD 25MM

Facility

$2,834.28

Hospital Charge Code	270641757
Hospital Revenue Code	272
Min. Negotiated Rate	$425.14
Max. Negotiated Rate	$425.14
Rate for Payer: Qualcare PPO/HMO/WC	$425.14

STAPLER CIRCULAR CRVD 25MM

Facility

$2,834.28

Hospital Charge Code	270641757
Hospital Revenue Code	272
Min. Negotiated Rate	$68.31
Max. Negotiated Rate	$1,417.14
Rate for Payer: Aetna Commercial	$1,077.03
Rate for Payer: Aetna Medicare Advantage	$850.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$722.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$722.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$722.74
Rate for Payer: Cigna Commercial	$1,417.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$850.28
Rate for Payer: Oxford Commercial	$566.86
Rate for Payer: Qualcare PPO/HMO/WC	$425.14
Rate for Payer: UnitedHealthcare Commercial	$566.86
Rate for Payer: UnitedHealthcare Community & State	$68.31
Rate for Payer: Wellpoint Medicaid Managed Care	$75.11

STAPLER CIRCULAR CRVD 29MM

Facility

$1,302.35

Hospital Charge Code	270608743
Hospital Revenue Code	272
Min. Negotiated Rate	$31.39
Max. Negotiated Rate	$651.17
Rate for Payer: Aetna Commercial	$494.89
Rate for Payer: Aetna Medicare Advantage	$390.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$332.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$332.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$332.10
Rate for Payer: Cigna Commercial	$651.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.70
Rate for Payer: Oxford Commercial	$260.47
Rate for Payer: Qualcare PPO/HMO/WC	$195.35
Rate for Payer: UnitedHealthcare Commercial	$260.47
Rate for Payer: UnitedHealthcare Community & State	$31.39
Rate for Payer: Wellpoint Medicaid Managed Care	$34.51

STAPLER CIRCULAR CRVD 29MM

Facility

$1,302.35

Hospital Charge Code	270608743
Hospital Revenue Code	272
Min. Negotiated Rate	$195.35
Max. Negotiated Rate	$195.35
Rate for Payer: Qualcare PPO/HMO/WC	$195.35

STAPLER CONTOUR CVD CUTTER GRN

Facility

$879.45

Hospital Charge Code	270662920
Hospital Revenue Code	272
Min. Negotiated Rate	$131.92
Max. Negotiated Rate	$131.92
Rate for Payer: Qualcare PPO/HMO/WC	$131.92

STAPLER CONTOUR CVD CUTTER GRN

Facility

$879.45

Hospital Charge Code	270662920
Hospital Revenue Code	272
Min. Negotiated Rate	$21.19
Max. Negotiated Rate	$439.73
Rate for Payer: Aetna Commercial	$334.19
Rate for Payer: Aetna Medicare Advantage	$263.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.26
Rate for Payer: Cigna Commercial	$439.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.83
Rate for Payer: Oxford Commercial	$175.89
Rate for Payer: Qualcare PPO/HMO/WC	$131.92
Rate for Payer: UnitedHealthcare Commercial	$175.89
Rate for Payer: UnitedHealthcare Community & State	$21.19
Rate for Payer: Wellpoint Medicaid Managed Care	$23.31

STAPLER DISP ENDOSCOPIC MULTI

Facility

$894.00

Hospital Charge Code	270334744
Hospital Revenue Code	272
Min. Negotiated Rate	$134.10
Max. Negotiated Rate	$134.10
Rate for Payer: Qualcare PPO/HMO/WC	$134.10

STAPLER DISP ENDOSCOPIC MULTI

Facility

$894.00

Hospital Charge Code	270334744
Hospital Revenue Code	272
Min. Negotiated Rate	$21.55
Max. Negotiated Rate	$447.00
Rate for Payer: Aetna Commercial	$339.72
Rate for Payer: Aetna Medicare Advantage	$268.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.97
Rate for Payer: Cigna Commercial	$447.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.20
Rate for Payer: Oxford Commercial	$178.80
Rate for Payer: Qualcare PPO/HMO/WC	$134.10
Rate for Payer: UnitedHealthcare Commercial	$178.80
Rate for Payer: UnitedHealthcare Community & State	$21.55
Rate for Payer: Wellpoint Medicaid Managed Care	$23.69

STAPLER DUET TRS 45 4.8mm

Facility

$1,914.17

Hospital Charge Code	270644817
Hospital Revenue Code	270
Min. Negotiated Rate	$287.13
Max. Negotiated Rate	$287.13
Rate for Payer: Qualcare PPO/HMO/WC	$287.13

STAPLER DUET TRS 45 4.8mm

Facility

$1,914.17

Hospital Charge Code	270644817
Hospital Revenue Code	270
Min. Negotiated Rate	$46.13
Max. Negotiated Rate	$957.09
Rate for Payer: Aetna Commercial	$727.38
Rate for Payer: Aetna Medicare Advantage	$574.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.11
Rate for Payer: Cigna Commercial	$957.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.25
Rate for Payer: Oxford Commercial	$382.83
Rate for Payer: Qualcare PPO/HMO/WC	$287.13
Rate for Payer: UnitedHealthcare Commercial	$382.83
Rate for Payer: UnitedHealthcare Community & State	$46.13
Rate for Payer: Wellpoint Medicaid Managed Care	$50.73

STAPLER ECHELON 45 ENDOPATH

Facility

$968.37

Hospital Charge Code	270662919
Hospital Revenue Code	272
Min. Negotiated Rate	$23.34
Max. Negotiated Rate	$484.19
Rate for Payer: Aetna Commercial	$367.98
Rate for Payer: Aetna Medicare Advantage	$290.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.93
Rate for Payer: Cigna Commercial	$484.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.51
Rate for Payer: Oxford Commercial	$193.67
Rate for Payer: Qualcare PPO/HMO/WC	$145.26
Rate for Payer: UnitedHealthcare Commercial	$193.67
Rate for Payer: UnitedHealthcare Community & State	$23.34
Rate for Payer: Wellpoint Medicaid Managed Care	$25.66

STAPLER ECHELON 45 ENDOPATH

Facility

$968.37

Hospital Charge Code	270662919
Hospital Revenue Code	272
Min. Negotiated Rate	$145.26
Max. Negotiated Rate	$145.26
Rate for Payer: Qualcare PPO/HMO/WC	$145.26

STAPLER ECHELON FLEX VASC

Facility

$1,662.68

Hospital Charge Code	270676634
Hospital Revenue Code	272
Min. Negotiated Rate	$249.40
Max. Negotiated Rate	$249.40
Rate for Payer: Qualcare PPO/HMO/WC	$249.40

STAPLER ECHELON FLEX VASC

Facility

$1,662.68

Hospital Charge Code	270676634
Hospital Revenue Code	272
Min. Negotiated Rate	$40.07
Max. Negotiated Rate	$831.34
Rate for Payer: Aetna Commercial	$631.82
Rate for Payer: Aetna Medicare Advantage	$498.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.98
Rate for Payer: Cigna Commercial	$831.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$498.80
Rate for Payer: Oxford Commercial	$332.54
Rate for Payer: Qualcare PPO/HMO/WC	$249.40
Rate for Payer: UnitedHealthcare Commercial	$332.54
Rate for Payer: UnitedHealthcare Community & State	$40.07
Rate for Payer: Wellpoint Medicaid Managed Care	$44.06

STAPLER ECHELON LONG 440MM

Facility

$3,482.98

Hospital Charge Code	270670864
Hospital Revenue Code	272
Min. Negotiated Rate	$83.94
Max. Negotiated Rate	$1,741.49
Rate for Payer: Aetna Commercial	$1,323.53
Rate for Payer: Aetna Medicare Advantage	$1,044.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$888.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$888.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$888.16
Rate for Payer: Cigna Commercial	$1,741.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,044.89
Rate for Payer: Oxford Commercial	$696.60
Rate for Payer: Qualcare PPO/HMO/WC	$522.45
Rate for Payer: UnitedHealthcare Commercial	$696.60
Rate for Payer: UnitedHealthcare Community & State	$83.94
Rate for Payer: Wellpoint Medicaid Managed Care	$92.30

STAPLER ECHELON LONG 440MM

Facility

$3,482.98

Hospital Charge Code	270670864
Hospital Revenue Code	272
Min. Negotiated Rate	$522.45
Max. Negotiated Rate	$522.45
Rate for Payer: Qualcare PPO/HMO/WC	$522.45

STAPLER EEA 28MM

Facility

$4,436.65

Service Code	HCPCS A4649
Hospital Charge Code	270693142
Hospital Revenue Code	272
Min. Negotiated Rate	$665.50
Max. Negotiated Rate	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$665.50

Know your out-of-pocket cost for care.

All Charges