Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER MULTI VERSA BLU 10 4MM

Facility

$656.27

Hospital Charge Code	270660964
Hospital Revenue Code	272
Min. Negotiated Rate	$15.82
Max. Negotiated Rate	$328.13
Rate for Payer: Aetna Commercial	$249.38
Rate for Payer: Aetna Medicare Advantage	$196.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.35
Rate for Payer: Cigna Commercial	$328.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.88
Rate for Payer: Oxford Commercial	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$98.44
Rate for Payer: UnitedHealthcare Commercial	$131.25
Rate for Payer: UnitedHealthcare Community & State	$15.82
Rate for Payer: Wellpoint Medicaid Managed Care	$17.39

STAPLER MULTI VERSA BLU 10 4MM

Facility

$656.27

Hospital Charge Code	270660964
Hospital Revenue Code	272
Min. Negotiated Rate	$98.44
Max. Negotiated Rate	$98.44
Rate for Payer: Qualcare PPO/HMO/WC	$98.44

STAPLER PERMIUM PLUS CEEA 21

Facility

$1,678.87

Hospital Charge Code	270600131
Hospital Revenue Code	272
Min. Negotiated Rate	$251.83
Max. Negotiated Rate	$251.83
Rate for Payer: Qualcare PPO/HMO/WC	$251.83

STAPLER PERMIUM PLUS CEEA 21

Facility

$1,678.87

Hospital Charge Code	270600131
Hospital Revenue Code	272
Min. Negotiated Rate	$40.46
Max. Negotiated Rate	$839.43
Rate for Payer: Aetna Commercial	$637.97
Rate for Payer: Aetna Medicare Advantage	$503.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.11
Rate for Payer: Cigna Commercial	$839.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.66
Rate for Payer: Oxford Commercial	$335.77
Rate for Payer: Qualcare PPO/HMO/WC	$251.83
Rate for Payer: UnitedHealthcare Commercial	$335.77
Rate for Payer: UnitedHealthcare Community & State	$40.46
Rate for Payer: Wellpoint Medicaid Managed Care	$44.49

STAPLER PERMIUM PLUS CEEA 25

Facility

$9,866.40

Hospital Charge Code	270600132
Hospital Revenue Code	272
Min. Negotiated Rate	$1,479.96
Max. Negotiated Rate	$1,479.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.96

STAPLER PERMIUM PLUS CEEA 25

Facility

$9,866.40

Hospital Charge Code	270600132
Hospital Revenue Code	272
Min. Negotiated Rate	$237.78
Max. Negotiated Rate	$4,933.20
Rate for Payer: Aetna Commercial	$3,749.23
Rate for Payer: Aetna Medicare Advantage	$2,959.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,515.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,515.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,515.93
Rate for Payer: Cigna Commercial	$4,933.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,959.92
Rate for Payer: Oxford Commercial	$1,973.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.96
Rate for Payer: UnitedHealthcare Commercial	$1,973.28
Rate for Payer: UnitedHealthcare Community & State	$237.78
Rate for Payer: Wellpoint Medicaid Managed Care	$261.46

STAPLER PERMIUM PLUS CEEA 28

Facility

$5,319.67

Hospital Charge Code	270600133
Hospital Revenue Code	272
Min. Negotiated Rate	$797.95
Max. Negotiated Rate	$797.95
Rate for Payer: Qualcare PPO/HMO/WC	$797.95

STAPLER PERMIUM PLUS CEEA 28

Facility

$5,319.67

Hospital Charge Code	270600133
Hospital Revenue Code	272
Min. Negotiated Rate	$128.20
Max. Negotiated Rate	$2,659.84
Rate for Payer: Aetna Commercial	$2,021.47
Rate for Payer: Aetna Medicare Advantage	$1,595.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,356.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,356.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,356.52
Rate for Payer: Cigna Commercial	$2,659.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,595.90
Rate for Payer: Oxford Commercial	$1,063.93
Rate for Payer: Qualcare PPO/HMO/WC	$797.95
Rate for Payer: UnitedHealthcare Commercial	$1,063.93
Rate for Payer: UnitedHealthcare Community & State	$128.20
Rate for Payer: Wellpoint Medicaid Managed Care	$140.97

STAPLER PERMIUM PLUS CEEA 31

Facility

$447.70

Hospital Charge Code	270600134
Hospital Revenue Code	272
Min. Negotiated Rate	$67.16
Max. Negotiated Rate	$67.16
Rate for Payer: Qualcare PPO/HMO/WC	$67.16

STAPLER PERMIUM PLUS CEEA 31

Facility

$447.70

Hospital Charge Code	270600134
Hospital Revenue Code	272
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$223.85
Rate for Payer: Aetna Commercial	$170.13
Rate for Payer: Aetna Medicare Advantage	$134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.16
Rate for Payer: Cigna Commercial	$223.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: Oxford Commercial	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$67.16
Rate for Payer: UnitedHealthcare Commercial	$89.54
Rate for Payer: UnitedHealthcare Community & State	$10.79
Rate for Payer: Wellpoint Medicaid Managed Care	$11.86

STAPLER PERMIUM PLUS CEEA 34

Facility

$1,678.87

Hospital Charge Code	270611150
Hospital Revenue Code	272
Min. Negotiated Rate	$251.83
Max. Negotiated Rate	$251.83
Rate for Payer: Qualcare PPO/HMO/WC	$251.83

STAPLER PERMIUM PLUS CEEA 34

Facility

$1,678.87

Hospital Charge Code	270611150
Hospital Revenue Code	272
Min. Negotiated Rate	$40.46
Max. Negotiated Rate	$839.43
Rate for Payer: Aetna Commercial	$637.97
Rate for Payer: Aetna Medicare Advantage	$503.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.11
Rate for Payer: Cigna Commercial	$839.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.66
Rate for Payer: Oxford Commercial	$335.77
Rate for Payer: Qualcare PPO/HMO/WC	$251.83
Rate for Payer: UnitedHealthcare Commercial	$335.77
Rate for Payer: UnitedHealthcare Community & State	$40.46
Rate for Payer: Wellpoint Medicaid Managed Care	$44.49

STAPLER POWER 23MM

Facility

$2,145.00

Hospital Charge Code	270687759
Hospital Revenue Code	272
Min. Negotiated Rate	$51.69
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$815.10
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$429.00
Rate for Payer: UnitedHealthcare Community & State	$51.69
Rate for Payer: Wellpoint Medicaid Managed Care	$56.84

STAPLER POWER 23MM

Facility

$2,145.00

Hospital Charge Code	270687759
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

STAPLER POWER 25MM

Facility

$2,145.00

Hospital Charge Code	270687760
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

STAPLER POWER 25MM

Facility

$2,145.00

Hospital Charge Code	270687760
Hospital Revenue Code	272
Min. Negotiated Rate	$51.69
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$815.10
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$429.00
Rate for Payer: UnitedHealthcare Community & State	$51.69
Rate for Payer: Wellpoint Medicaid Managed Care	$56.84

STAPLER POWER 31MM

Facility

$2,145.00

Hospital Charge Code	270687761
Hospital Revenue Code	272
Min. Negotiated Rate	$51.69
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$815.10
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$429.00
Rate for Payer: UnitedHealthcare Community & State	$51.69
Rate for Payer: Wellpoint Medicaid Managed Care	$56.84

STAPLER POWER 31MM

Facility

$2,145.00

Hospital Charge Code	270687761
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

STAPLER POWERED LDS 15W DISP

Facility

$2,468.36

Hospital Charge Code	270600145
Hospital Revenue Code	272
Min. Negotiated Rate	$59.49
Max. Negotiated Rate	$1,234.18
Rate for Payer: Aetna Commercial	$937.98
Rate for Payer: Aetna Medicare Advantage	$740.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$629.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$629.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$629.43
Rate for Payer: Cigna Commercial	$1,234.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$740.51
Rate for Payer: Oxford Commercial	$493.67
Rate for Payer: Qualcare PPO/HMO/WC	$370.25
Rate for Payer: UnitedHealthcare Commercial	$493.67
Rate for Payer: UnitedHealthcare Community & State	$59.49
Rate for Payer: Wellpoint Medicaid Managed Care	$65.41

STAPLER POWERED LDS 15W DISP

Facility

$2,468.36

Hospital Charge Code	270600145
Hospital Revenue Code	272
Min. Negotiated Rate	$370.25
Max. Negotiated Rate	$370.25
Rate for Payer: Qualcare PPO/HMO/WC	$370.25

STAPLER PROXIMATE DISP 35 WIDE

Facility

$60.90

Hospital Charge Code	270656000
Hospital Revenue Code	272
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$30.45
Rate for Payer: Aetna Commercial	$23.14
Rate for Payer: Aetna Medicare Advantage	$18.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.53
Rate for Payer: Cigna Commercial	$30.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.27
Rate for Payer: Oxford Commercial	$12.18
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Commercial	$12.18
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.61

STAPLER PROXIMATE DISP 35 WIDE

Facility

$60.90

Hospital Charge Code	270656000
Hospital Revenue Code	272
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$9.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

STAPLER PROXIMATE SKIN REG 35

Facility

$25.00

Hospital Charge Code	270671550
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

STAPLER PROXIMATE SKIN REG 35

Facility

$25.00

Hospital Charge Code	270671550
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.66

STAPLER PROXIMATE SKIN WIDE 35

Facility

$30.96

Hospital Charge Code	270671551
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$15.48
Rate for Payer: Aetna Commercial	$11.76
Rate for Payer: Aetna Medicare Advantage	$9.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.89
Rate for Payer: Cigna Commercial	$15.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.29
Rate for Payer: Oxford Commercial	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.64
Rate for Payer: UnitedHealthcare Commercial	$6.19
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

Know your out-of-pocket cost for care.

All Charges