Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER EEA 28MM

Facility

$4,436.65

Service Code	HCPCS A4649
Hospital Charge Code	270693142
Hospital Revenue Code	272
Min. Negotiated Rate	$106.92
Max. Negotiated Rate	$2,218.32
Rate for Payer: Aetna Commercial	$1,685.93
Rate for Payer: Aetna Medicare Advantage	$1,330.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,131.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,131.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,131.35
Rate for Payer: Cigna Commercial	$2,218.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,330.99
Rate for Payer: Oxford Commercial	$887.33
Rate for Payer: Qualcare PPO/HMO/WC	$665.50
Rate for Payer: UnitedHealthcare Commercial	$887.33
Rate for Payer: UnitedHealthcare Community & State	$106.92
Rate for Payer: Wellpoint Medicaid Managed Care	$117.57

STAPLER EEA 31

Facility

$3,959.97

Hospital Charge Code	270641831
Hospital Revenue Code	272
Min. Negotiated Rate	$594.00
Max. Negotiated Rate	$594.00
Rate for Payer: Qualcare PPO/HMO/WC	$594.00

STAPLER EEA 31

Facility

$3,959.97

Hospital Charge Code	270641831
Hospital Revenue Code	272
Min. Negotiated Rate	$95.44
Max. Negotiated Rate	$1,979.98
Rate for Payer: Aetna Commercial	$1,504.79
Rate for Payer: Aetna Medicare Advantage	$1,187.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,009.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,009.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,009.79
Rate for Payer: Cigna Commercial	$1,979.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,187.99
Rate for Payer: Oxford Commercial	$791.99
Rate for Payer: Qualcare PPO/HMO/WC	$594.00
Rate for Payer: UnitedHealthcare Commercial	$791.99
Rate for Payer: UnitedHealthcare Community & State	$95.44
Rate for Payer: Wellpoint Medicaid Managed Care	$104.94

STAPLER EEA33MM

Facility

$4,344.25

Hospital Charge Code	270656235
Hospital Revenue Code	272
Min. Negotiated Rate	$651.64
Max. Negotiated Rate	$651.64
Rate for Payer: Qualcare PPO/HMO/WC	$651.64

STAPLER EEA33MM

Facility

$4,344.25

Hospital Charge Code	270656235
Hospital Revenue Code	272
Min. Negotiated Rate	$104.70
Max. Negotiated Rate	$2,172.12
Rate for Payer: Aetna Commercial	$1,650.82
Rate for Payer: Aetna Medicare Advantage	$1,303.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,107.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,107.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,107.78
Rate for Payer: Cigna Commercial	$2,172.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,303.28
Rate for Payer: Oxford Commercial	$868.85
Rate for Payer: Qualcare PPO/HMO/WC	$651.64
Rate for Payer: UnitedHealthcare Commercial	$868.85
Rate for Payer: UnitedHealthcare Community & State	$104.70
Rate for Payer: Wellpoint Medicaid Managed Care	$115.12

STAPLER EGIA45 AR XTRTHN VSCLR

Facility

$1,023.27

Hospital Charge Code	270660354
Hospital Revenue Code	272
Min. Negotiated Rate	$153.49
Max. Negotiated Rate	$153.49
Rate for Payer: Qualcare PPO/HMO/WC	$153.49

STAPLER EGIA45 AR XTRTHN VSCLR

Facility

$1,023.27

Hospital Charge Code	270660354
Hospital Revenue Code	272
Min. Negotiated Rate	$24.66
Max. Negotiated Rate	$511.63
Rate for Payer: Aetna Commercial	$388.84
Rate for Payer: Aetna Medicare Advantage	$306.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.93
Rate for Payer: Cigna Commercial	$511.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.98
Rate for Payer: Oxford Commercial	$204.65
Rate for Payer: Qualcare PPO/HMO/WC	$153.49
Rate for Payer: UnitedHealthcare Commercial	$204.65
Rate for Payer: UnitedHealthcare Community & State	$24.66
Rate for Payer: Wellpoint Medicaid Managed Care	$27.12

STAPLER EGIA 45 CRVD VASC MED

Facility

$2,755.05

Hospital Charge Code	270660567
Hospital Revenue Code	272
Min. Negotiated Rate	$413.26
Max. Negotiated Rate	$413.26
Rate for Payer: Qualcare PPO/HMO/WC	$413.26

STAPLER EGIA 45 CRVD VASC MED

Facility

$2,755.05

Hospital Charge Code	270660567
Hospital Revenue Code	272
Min. Negotiated Rate	$66.40
Max. Negotiated Rate	$1,377.53
Rate for Payer: Aetna Commercial	$1,046.92
Rate for Payer: Aetna Medicare Advantage	$826.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$702.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$702.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$702.54
Rate for Payer: Cigna Commercial	$1,377.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.51
Rate for Payer: Oxford Commercial	$551.01
Rate for Payer: Qualcare PPO/HMO/WC	$413.26
Rate for Payer: UnitedHealthcare Commercial	$551.01
Rate for Payer: UnitedHealthcare Community & State	$66.40
Rate for Payer: Wellpoint Medicaid Managed Care	$73.01

STAPLER EGIA 45MM CT AR MD THK

Facility

$1,074.83

Hospital Charge Code	270675160
Hospital Revenue Code	272
Min. Negotiated Rate	$25.90
Max. Negotiated Rate	$537.41
Rate for Payer: Aetna Commercial	$408.44
Rate for Payer: Aetna Medicare Advantage	$322.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.08
Rate for Payer: Cigna Commercial	$537.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.45
Rate for Payer: Oxford Commercial	$214.97
Rate for Payer: Qualcare PPO/HMO/WC	$161.22
Rate for Payer: UnitedHealthcare Commercial	$214.97
Rate for Payer: UnitedHealthcare Community & State	$25.90
Rate for Payer: Wellpoint Medicaid Managed Care	$28.48

STAPLER EGIA 45MM CT AR MD THK

Facility

$1,074.83

Hospital Charge Code	270675160
Hospital Revenue Code	272
Min. Negotiated Rate	$161.22
Max. Negotiated Rate	$161.22
Rate for Payer: Qualcare PPO/HMO/WC	$161.22

STAPLER EGIA 60 ARTICULAT EXTR

Facility

$1,484.64

Hospital Charge Code	270664882
Hospital Revenue Code	272
Min. Negotiated Rate	$35.78
Max. Negotiated Rate	$742.32
Rate for Payer: Aetna Commercial	$564.16
Rate for Payer: Aetna Medicare Advantage	$445.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.58
Rate for Payer: Cigna Commercial	$742.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.39
Rate for Payer: Oxford Commercial	$296.93
Rate for Payer: Qualcare PPO/HMO/WC	$222.70
Rate for Payer: UnitedHealthcare Commercial	$296.93
Rate for Payer: UnitedHealthcare Community & State	$35.78
Rate for Payer: Wellpoint Medicaid Managed Care	$39.34

STAPLER EGIA 60 ARTICULAT EXTR

Facility

$1,484.64

Hospital Charge Code	270664882
Hospital Revenue Code	272
Min. Negotiated Rate	$222.70
Max. Negotiated Rate	$222.70
Rate for Payer: Qualcare PPO/HMO/WC	$222.70

STAPLER EGIA 60MM CRVD TIP MED

Facility

$1,454.88

Hospital Charge Code	270675159
Hospital Revenue Code	272
Min. Negotiated Rate	$35.06
Max. Negotiated Rate	$727.44
Rate for Payer: Aetna Commercial	$552.85
Rate for Payer: Aetna Medicare Advantage	$436.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.99
Rate for Payer: Cigna Commercial	$727.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.46
Rate for Payer: Oxford Commercial	$290.98
Rate for Payer: Qualcare PPO/HMO/WC	$218.23
Rate for Payer: UnitedHealthcare Commercial	$290.98
Rate for Payer: UnitedHealthcare Community & State	$35.06
Rate for Payer: Wellpoint Medicaid Managed Care	$38.55

STAPLER EGIA 60MM CRVD TIP MED

Facility

$1,454.88

Hospital Charge Code	270675159
Hospital Revenue Code	272
Min. Negotiated Rate	$218.23
Max. Negotiated Rate	$218.23
Rate for Payer: Qualcare PPO/HMO/WC	$218.23

STAPLER EGIA RADIAL MED THK

Facility

$1,876.90

Hospital Charge Code	270664883
Hospital Revenue Code	272
Min. Negotiated Rate	$281.54
Max. Negotiated Rate	$281.54
Rate for Payer: Qualcare PPO/HMO/WC	$281.54

STAPLER EGIA RADIAL MED THK

Facility

$1,876.90

Hospital Charge Code	270664883
Hospital Revenue Code	272
Min. Negotiated Rate	$45.23
Max. Negotiated Rate	$938.45
Rate for Payer: Aetna Commercial	$713.22
Rate for Payer: Aetna Medicare Advantage	$563.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.61
Rate for Payer: Cigna Commercial	$938.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.07
Rate for Payer: Oxford Commercial	$375.38
Rate for Payer: Qualcare PPO/HMO/WC	$281.54
Rate for Payer: UnitedHealthcare Commercial	$375.38
Rate for Payer: UnitedHealthcare Community & State	$45.23
Rate for Payer: Wellpoint Medicaid Managed Care	$49.74

STAPLER EGIA RADIAL XTR THK

Facility

$2,158.43

Hospital Charge Code	270664884
Hospital Revenue Code	272
Min. Negotiated Rate	$323.76
Max. Negotiated Rate	$323.76
Rate for Payer: Qualcare PPO/HMO/WC	$323.76

STAPLER EGIA RADIAL XTR THK

Facility

$2,158.43

Hospital Charge Code	270664884
Hospital Revenue Code	272
Min. Negotiated Rate	$52.02
Max. Negotiated Rate	$1,079.21
Rate for Payer: Aetna Commercial	$820.20
Rate for Payer: Aetna Medicare Advantage	$647.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.40
Rate for Payer: Cigna Commercial	$1,079.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$647.53
Rate for Payer: Oxford Commercial	$431.69
Rate for Payer: Qualcare PPO/HMO/WC	$323.76
Rate for Payer: UnitedHealthcare Commercial	$431.69
Rate for Payer: UnitedHealthcare Community & State	$52.02
Rate for Payer: Wellpoint Medicaid Managed Care	$57.20

STAPLER EGIA TRS 60 AMT ARTI

Facility

$1,995.38

Hospital Charge Code	270671371
Hospital Revenue Code	272
Min. Negotiated Rate	$48.09
Max. Negotiated Rate	$997.69
Rate for Payer: Aetna Commercial	$758.24
Rate for Payer: Aetna Medicare Advantage	$598.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.82
Rate for Payer: Cigna Commercial	$997.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$598.61
Rate for Payer: Oxford Commercial	$399.08
Rate for Payer: Qualcare PPO/HMO/WC	$299.31
Rate for Payer: UnitedHealthcare Commercial	$399.08
Rate for Payer: UnitedHealthcare Community & State	$48.09
Rate for Payer: Wellpoint Medicaid Managed Care	$52.88

STAPLER EGIA TRS 60 AMT ARTI

Facility

$1,995.38

Hospital Charge Code	270671371
Hospital Revenue Code	272
Min. Negotiated Rate	$299.31
Max. Negotiated Rate	$299.31
Rate for Payer: Qualcare PPO/HMO/WC	$299.31

STAPLER EGIA TRS 60 ARTICULAT

Facility

$2,035.72

Hospital Charge Code	270675466
Hospital Revenue Code	272
Min. Negotiated Rate	$49.06
Max. Negotiated Rate	$1,017.86
Rate for Payer: Aetna Commercial	$773.57
Rate for Payer: Aetna Medicare Advantage	$610.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$519.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$519.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$519.11
Rate for Payer: Cigna Commercial	$1,017.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$610.72
Rate for Payer: Oxford Commercial	$407.14
Rate for Payer: Qualcare PPO/HMO/WC	$305.36
Rate for Payer: UnitedHealthcare Commercial	$407.14
Rate for Payer: UnitedHealthcare Community & State	$49.06
Rate for Payer: Wellpoint Medicaid Managed Care	$53.95

STAPLER EGIA TRS 60 ARTICULAT

Facility

$2,035.72

Hospital Charge Code	270675466
Hospital Revenue Code	272
Min. Negotiated Rate	$305.36
Max. Negotiated Rate	$305.36
Rate for Payer: Qualcare PPO/HMO/WC	$305.36

STAPLE RELOAD GIA ENDO 45MM

Facility

$3,389.65

Service Code	HCPCS A4649
Hospital Charge Code	270693676
Hospital Revenue Code	272
Min. Negotiated Rate	$508.45
Max. Negotiated Rate	$508.45
Rate for Payer: Qualcare PPO/HMO/WC	$508.45

STAPLE RELOAD GIA ENDO 45MM

Facility

$3,389.65

Service Code	HCPCS A4649
Hospital Charge Code	270693676
Hospital Revenue Code	272
Min. Negotiated Rate	$81.69
Max. Negotiated Rate	$1,694.83
Rate for Payer: Aetna Commercial	$1,288.07
Rate for Payer: Aetna Medicare Advantage	$1,016.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.36
Rate for Payer: Cigna Commercial	$1,694.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,016.89
Rate for Payer: Oxford Commercial	$677.93
Rate for Payer: Qualcare PPO/HMO/WC	$508.45
Rate for Payer: UnitedHealthcare Commercial	$677.93
Rate for Payer: UnitedHealthcare Community & State	$81.69
Rate for Payer: Wellpoint Medicaid Managed Care	$89.83

Know your out-of-pocket cost for care.

All Charges