Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER PROXIMATE SKIN WIDE 35

Facility

$30.96

Hospital Charge Code	270671551
Hospital Revenue Code	272
Min. Negotiated Rate	$4.64
Max. Negotiated Rate	$4.64
Rate for Payer: Qualcare PPO/HMO/WC	$4.64

STAPLER PROXIMATE SKIN WIDE 35

Facility

$30.96

Hospital Charge Code	270671551S
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

STAPLER PROXIMATE SKIN WIDE 35

Facility

$35.00

Hospital Charge Code	270671551N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

STAPLER PROXIMATE SKIN WIDE 35

Facility

$35.00

Hospital Charge Code	270671551N
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

STAPLER PROXIMATE SKIN WIDE 35

Facility

$30.96

Hospital Charge Code	270671551S
Hospital Revenue Code	272
Min. Negotiated Rate	$4.64
Max. Negotiated Rate	$4.64
Rate for Payer: Qualcare PPO/HMO/WC	$4.64

STAPLER PURSTRING 65 INST

Facility

$837.47

Hospital Charge Code	270600130
Hospital Revenue Code	272
Min. Negotiated Rate	$125.62
Max. Negotiated Rate	$125.62
Rate for Payer: Qualcare PPO/HMO/WC	$125.62

STAPLER PURSTRING 65 INST

Facility

$837.47

Hospital Charge Code	270600130
Hospital Revenue Code	272
Min. Negotiated Rate	$20.18
Max. Negotiated Rate	$418.74
Rate for Payer: Aetna Commercial	$318.24
Rate for Payer: Aetna Medicare Advantage	$251.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.55
Rate for Payer: Cigna Commercial	$418.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.24
Rate for Payer: Oxford Commercial	$167.49
Rate for Payer: Qualcare PPO/HMO/WC	$125.62
Rate for Payer: UnitedHealthcare Commercial	$167.49
Rate for Payer: UnitedHealthcare Community & State	$20.18
Rate for Payer: Wellpoint Medicaid Managed Care	$22.19

STAPLER RELOAD

Facility

$413.92

Hospital Charge Code	270667075
Hospital Revenue Code	272
Min. Negotiated Rate	$62.09
Max. Negotiated Rate	$62.09
Rate for Payer: Qualcare PPO/HMO/WC	$62.09

STAPLER RELOAD

Facility

$413.92

Hospital Charge Code	270667075
Hospital Revenue Code	272
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$206.96
Rate for Payer: Aetna Commercial	$157.29
Rate for Payer: Aetna Medicare Advantage	$124.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.55
Rate for Payer: Cigna Commercial	$206.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.18
Rate for Payer: Oxford Commercial	$82.78
Rate for Payer: Qualcare PPO/HMO/WC	$62.09
Rate for Payer: UnitedHealthcare Commercial	$82.78
Rate for Payer: UnitedHealthcare Community & State	$9.98
Rate for Payer: Wellpoint Medicaid Managed Care	$10.97

STAPLER RELOAD 60 MM BLACK

Facility

$3,943.32

Hospital Charge Code	270691805
Hospital Revenue Code	272
Min. Negotiated Rate	$95.03
Max. Negotiated Rate	$1,971.66
Rate for Payer: Aetna Commercial	$1,498.46
Rate for Payer: Aetna Medicare Advantage	$1,183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,005.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,005.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,005.55
Rate for Payer: Cigna Commercial	$1,971.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,183.00
Rate for Payer: Oxford Commercial	$788.66
Rate for Payer: Qualcare PPO/HMO/WC	$591.50
Rate for Payer: UnitedHealthcare Commercial	$788.66
Rate for Payer: UnitedHealthcare Community & State	$95.03
Rate for Payer: Wellpoint Medicaid Managed Care	$104.50

STAPLER RELOAD 60 MM BLACK

Facility

$3,943.32

Hospital Charge Code	270691805
Hospital Revenue Code	272
Min. Negotiated Rate	$591.50
Max. Negotiated Rate	$591.50
Rate for Payer: Qualcare PPO/HMO/WC	$591.50

STAPLER RELOADABLE LINEAR 30MM

Facility

$454.00

Hospital Charge Code	270334721
Hospital Revenue Code	272
Min. Negotiated Rate	$68.10
Max. Negotiated Rate	$68.10
Rate for Payer: Qualcare PPO/HMO/WC	$68.10

STAPLER RELOADABLE LINEAR 30MM

Facility

$454.00

Hospital Charge Code	270334721
Hospital Revenue Code	272
Min. Negotiated Rate	$10.94
Max. Negotiated Rate	$227.00
Rate for Payer: Aetna Commercial	$172.52
Rate for Payer: Aetna Medicare Advantage	$136.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.77
Rate for Payer: Cigna Commercial	$227.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.20
Rate for Payer: Oxford Commercial	$90.80
Rate for Payer: Qualcare PPO/HMO/WC	$68.10
Rate for Payer: UnitedHealthcare Commercial	$90.80
Rate for Payer: UnitedHealthcare Community & State	$10.94
Rate for Payer: Wellpoint Medicaid Managed Care	$12.03

STAPLER RELOADABLE SIG TA3035S

Facility

$443.15

Hospital Charge Code	270630377
Hospital Revenue Code	272
Min. Negotiated Rate	$66.47
Max. Negotiated Rate	$66.47
Rate for Payer: Qualcare PPO/HMO/WC	$66.47

STAPLER RELOADABLE SIG TA3035S

Facility

$443.15

Hospital Charge Code	270630377
Hospital Revenue Code	272
Min. Negotiated Rate	$10.68
Max. Negotiated Rate	$221.57
Rate for Payer: Aetna Commercial	$168.40
Rate for Payer: Aetna Medicare Advantage	$132.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.00
Rate for Payer: Cigna Commercial	$221.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.94
Rate for Payer: Oxford Commercial	$88.63
Rate for Payer: Qualcare PPO/HMO/WC	$66.47
Rate for Payer: UnitedHealthcare Commercial	$88.63
Rate for Payer: UnitedHealthcare Community & State	$10.68
Rate for Payer: Wellpoint Medicaid Managed Care	$11.74

STAPLER RELOADABLE SL TA45485S

Facility

$730.73

Hospital Charge Code	270630384
Hospital Revenue Code	272
Min. Negotiated Rate	$109.61
Max. Negotiated Rate	$109.61
Rate for Payer: Qualcare PPO/HMO/WC	$109.61

STAPLER RELOADABLE SL TA45485S

Facility

$730.73

Hospital Charge Code	270630384
Hospital Revenue Code	272
Min. Negotiated Rate	$17.61
Max. Negotiated Rate	$365.37
Rate for Payer: Aetna Commercial	$277.68
Rate for Payer: Aetna Medicare Advantage	$219.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.34
Rate for Payer: Cigna Commercial	$365.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.22
Rate for Payer: Oxford Commercial	$146.15
Rate for Payer: Qualcare PPO/HMO/WC	$109.61
Rate for Payer: UnitedHealthcare Commercial	$146.15
Rate for Payer: UnitedHealthcare Community & State	$17.61
Rate for Payer: Wellpoint Medicaid Managed Care	$19.36

STAPLER RELOADABLE TA 45-3.5

Facility

$613.32

Hospital Charge Code	270630382
Hospital Revenue Code	272
Min. Negotiated Rate	$92.00
Max. Negotiated Rate	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.00

STAPLER RELOADABLE TA 45-3.5

Facility

$613.32

Hospital Charge Code	270630382
Hospital Revenue Code	272
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$306.66
Rate for Payer: Aetna Commercial	$233.06
Rate for Payer: Aetna Medicare Advantage	$184.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.40
Rate for Payer: Cigna Commercial	$306.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.00
Rate for Payer: Oxford Commercial	$122.66
Rate for Payer: Qualcare PPO/HMO/WC	$92.00
Rate for Payer: UnitedHealthcare Commercial	$122.66
Rate for Payer: UnitedHealthcare Community & State	$14.78
Rate for Payer: Wellpoint Medicaid Managed Care	$16.25

STAPLER RELOADABLE TA 60-3.5

Facility

$428.10

Hospital Charge Code	270630408
Hospital Revenue Code	272
Min. Negotiated Rate	$64.22
Max. Negotiated Rate	$64.22
Rate for Payer: Qualcare PPO/HMO/WC	$64.22

STAPLER RELOADABLE TA 60-3.5

Facility

$428.10

Hospital Charge Code	270630408
Hospital Revenue Code	272
Min. Negotiated Rate	$10.32
Max. Negotiated Rate	$214.05
Rate for Payer: Aetna Commercial	$162.68
Rate for Payer: Aetna Medicare Advantage	$128.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.17
Rate for Payer: Cigna Commercial	$214.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.43
Rate for Payer: Oxford Commercial	$85.62
Rate for Payer: Qualcare PPO/HMO/WC	$64.22
Rate for Payer: UnitedHealthcare Commercial	$85.62
Rate for Payer: UnitedHealthcare Community & State	$10.32
Rate for Payer: Wellpoint Medicaid Managed Care	$11.34

STAPLER RELOADABLE TA* 60-4.8

Facility

$459.40

Hospital Charge Code	270630378
Hospital Revenue Code	272
Min. Negotiated Rate	$11.07
Max. Negotiated Rate	$229.70
Rate for Payer: Aetna Commercial	$174.57
Rate for Payer: Aetna Medicare Advantage	$137.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.15
Rate for Payer: Cigna Commercial	$229.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.82
Rate for Payer: Oxford Commercial	$91.88
Rate for Payer: Qualcare PPO/HMO/WC	$68.91
Rate for Payer: UnitedHealthcare Commercial	$91.88
Rate for Payer: UnitedHealthcare Community & State	$11.07
Rate for Payer: Wellpoint Medicaid Managed Care	$12.17

STAPLER RELOADABLE TA* 60-4.8

Facility

$459.40

Hospital Charge Code	270630378
Hospital Revenue Code	272
Min. Negotiated Rate	$68.91
Max. Negotiated Rate	$68.91
Rate for Payer: Qualcare PPO/HMO/WC	$68.91

STAPLER RELOADABLE TA 90-3.5

Facility

$1,695.43

Hospital Charge Code	270630411
Hospital Revenue Code	272
Min. Negotiated Rate	$254.31
Max. Negotiated Rate	$254.31
Rate for Payer: Qualcare PPO/HMO/WC	$254.31

STAPLER RELOADABLE TA 90-3.5

Facility

$1,695.43

Hospital Charge Code	270630411
Hospital Revenue Code	272
Min. Negotiated Rate	$40.86
Max. Negotiated Rate	$847.72
Rate for Payer: Aetna Commercial	$644.26
Rate for Payer: Aetna Medicare Advantage	$508.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$432.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$432.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$432.33
Rate for Payer: Cigna Commercial	$847.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.63
Rate for Payer: Oxford Commercial	$339.09
Rate for Payer: Qualcare PPO/HMO/WC	$254.31
Rate for Payer: UnitedHealthcare Commercial	$339.09
Rate for Payer: UnitedHealthcare Community & State	$40.86
Rate for Payer: Wellpoint Medicaid Managed Care	$44.93

Know your out-of-pocket cost for care.

All Charges