Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER ROTICULATOR 55-4.8 GRN

Facility

$6,219.40

Hospital Charge Code	270600116
Hospital Revenue Code	272
Min. Negotiated Rate	$149.89
Max. Negotiated Rate	$3,109.70
Rate for Payer: Aetna Commercial	$2,363.37
Rate for Payer: Aetna Medicare Advantage	$1,865.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,585.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,585.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,585.95
Rate for Payer: Cigna Commercial	$3,109.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,865.82
Rate for Payer: Oxford Commercial	$1,243.88
Rate for Payer: Qualcare PPO/HMO/WC	$932.91
Rate for Payer: UnitedHealthcare Commercial	$1,243.88
Rate for Payer: UnitedHealthcare Community & State	$149.89
Rate for Payer: Wellpoint Medicaid Managed Care	$164.81

STAPLER SHEH 29m ENDOSIC ECS29

Facility

$1,422.65

Hospital Charge Code	270630329
Hospital Revenue Code	272
Min. Negotiated Rate	$213.40
Max. Negotiated Rate	$213.40
Rate for Payer: Qualcare PPO/HMO/WC	$213.40

STAPLER SHEH 29m ENDOSIC ECS29

Facility

$1,422.65

Hospital Charge Code	270630329
Hospital Revenue Code	272
Min. Negotiated Rate	$34.29
Max. Negotiated Rate	$711.33
Rate for Payer: Aetna Commercial	$540.61
Rate for Payer: Aetna Medicare Advantage	$426.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.78
Rate for Payer: Cigna Commercial	$711.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$426.80
Rate for Payer: Oxford Commercial	$284.53
Rate for Payer: Qualcare PPO/HMO/WC	$213.40
Rate for Payer: UnitedHealthcare Commercial	$284.53
Rate for Payer: UnitedHealthcare Community & State	$34.29
Rate for Payer: Wellpoint Medicaid Managed Care	$37.70

STAPLER SKIN ***********

Facility

$149.00

Hospital Charge Code	1800127
Hospital Revenue Code	279
Min. Negotiated Rate	$3.59
Max. Negotiated Rate	$74.50
Rate for Payer: Aetna Commercial	$56.62
Rate for Payer: Aetna Medicare Advantage	$44.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.99
Rate for Payer: Cigna Commercial	$74.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.70
Rate for Payer: Oxford Commercial	$29.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.35
Rate for Payer: UnitedHealthcare Commercial	$29.80
Rate for Payer: UnitedHealthcare Community & State	$3.59
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

STAPLER SKIN ***********

Facility

$149.00

Hospital Charge Code	1800127
Hospital Revenue Code	279
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

STAPLER SKIN 12W ********

Facility

$76.00

Hospital Charge Code	1600923
Hospital Revenue Code	272
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

STAPLER SKIN 12W ********

Facility

$76.00

Hospital Charge Code	1600923
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$38.00
Rate for Payer: Aetna Commercial	$28.88
Rate for Payer: Aetna Medicare Advantage	$22.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.38
Rate for Payer: Cigna Commercial	$38.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.80
Rate for Payer: Oxford Commercial	$15.20
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$15.20
Rate for Payer: UnitedHealthcare Community & State	$1.83
Rate for Payer: Wellpoint Medicaid Managed Care	$2.01

STAPLER SKIN 35W *******

Facility

$91.00

Hospital Charge Code	1600931
Hospital Revenue Code	272
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$13.65
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

STAPLER SKIN 35W *******

Facility

$91.00

Hospital Charge Code	1600931
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$45.50
Rate for Payer: Aetna Commercial	$34.58
Rate for Payer: Aetna Medicare Advantage	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.20
Rate for Payer: Cigna Commercial	$45.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$18.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.65
Rate for Payer: UnitedHealthcare Commercial	$18.20
Rate for Payer: UnitedHealthcare Community & State	$2.19
Rate for Payer: Wellpoint Medicaid Managed Care	$2.41

STAPLER SKIN RELOAD *******

Facility

$77.00

Hospital Charge Code	1603570
Hospital Revenue Code	272
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$38.50
Rate for Payer: Aetna Commercial	$29.26
Rate for Payer: Aetna Medicare Advantage	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.64
Rate for Payer: Cigna Commercial	$38.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.10
Rate for Payer: Oxford Commercial	$15.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.55
Rate for Payer: UnitedHealthcare Commercial	$15.40
Rate for Payer: UnitedHealthcare Community & State	$1.86
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

STAPLER SKIN RELOAD *******

Facility

$77.00

Hospital Charge Code	1603570
Hospital Revenue Code	272
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$11.55
Rate for Payer: Qualcare PPO/HMO/WC	$11.55

STAPLER SKIN ROTATING 35WIDE

Facility

$1,664.17

Hospital Charge Code	270662787
Hospital Revenue Code	272
Min. Negotiated Rate	$249.63
Max. Negotiated Rate	$249.63
Rate for Payer: Qualcare PPO/HMO/WC	$249.63

STAPLER SKIN ROTATING 35WIDE

Facility

$1,664.17

Hospital Charge Code	270662787
Hospital Revenue Code	272
Min. Negotiated Rate	$40.11
Max. Negotiated Rate	$832.09
Rate for Payer: Aetna Commercial	$632.38
Rate for Payer: Aetna Medicare Advantage	$499.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.36
Rate for Payer: Cigna Commercial	$832.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$499.25
Rate for Payer: Oxford Commercial	$332.83
Rate for Payer: Qualcare PPO/HMO/WC	$249.63
Rate for Payer: UnitedHealthcare Commercial	$332.83
Rate for Payer: UnitedHealthcare Community & State	$40.11
Rate for Payer: Wellpoint Medicaid Managed Care	$44.10

STAPLER SKIN SIGNET 35W SINGLE

Facility

$231.18

Hospital Charge Code	270014126
Hospital Revenue Code	272
Min. Negotiated Rate	$34.68
Max. Negotiated Rate	$34.68
Rate for Payer: Qualcare PPO/HMO/WC	$34.68

STAPLER SKIN SIGNET 35W SINGLE

Facility

$395.95

Hospital Charge Code	270014126N
Hospital Revenue Code	272
Min. Negotiated Rate	$9.54
Max. Negotiated Rate	$197.97
Rate for Payer: Aetna Commercial	$150.46
Rate for Payer: Aetna Medicare Advantage	$118.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.97
Rate for Payer: Cigna Commercial	$197.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.78
Rate for Payer: Oxford Commercial	$79.19
Rate for Payer: Qualcare PPO/HMO/WC	$59.39
Rate for Payer: UnitedHealthcare Commercial	$79.19
Rate for Payer: UnitedHealthcare Community & State	$9.54
Rate for Payer: Wellpoint Medicaid Managed Care	$10.49

STAPLER SKIN SIGNET 35W SINGLE

Facility

$395.95

Hospital Charge Code	270014126N
Hospital Revenue Code	272
Min. Negotiated Rate	$59.39
Max. Negotiated Rate	$59.39
Rate for Payer: Qualcare PPO/HMO/WC	$59.39

STAPLER SKIN SIGNET 35W SINGLE

Facility

$231.18

Hospital Charge Code	270014126
Hospital Revenue Code	272
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$115.59
Rate for Payer: Aetna Commercial	$87.85
Rate for Payer: Aetna Medicare Advantage	$69.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.95
Rate for Payer: Cigna Commercial	$115.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.35
Rate for Payer: Oxford Commercial	$46.24
Rate for Payer: Qualcare PPO/HMO/WC	$34.68
Rate for Payer: UnitedHealthcare Commercial	$46.24
Rate for Payer: UnitedHealthcare Community & State	$5.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

STAPLER SKIN ULC 35 REG

Facility

$148.71

Hospital Charge Code	270656239
Hospital Revenue Code	272
Min. Negotiated Rate	$22.31
Max. Negotiated Rate	$22.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.31

STAPLER SKIN ULC 35 REG

Facility

$148.71

Hospital Charge Code	270656239
Hospital Revenue Code	272
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$74.36
Rate for Payer: Aetna Commercial	$56.51
Rate for Payer: Aetna Medicare Advantage	$44.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.92
Rate for Payer: Cigna Commercial	$74.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.61
Rate for Payer: Oxford Commercial	$29.74
Rate for Payer: Qualcare PPO/HMO/WC	$22.31
Rate for Payer: UnitedHealthcare Commercial	$29.74
Rate for Payer: UnitedHealthcare Community & State	$3.58
Rate for Payer: Wellpoint Medicaid Managed Care	$3.94

STAPLER SKIN ULC 35 WIDE

Facility

$122.46

Hospital Charge Code	270649770
Hospital Revenue Code	272
Min. Negotiated Rate	$18.37
Max. Negotiated Rate	$18.37
Rate for Payer: Qualcare PPO/HMO/WC	$18.37

STAPLER SKIN ULC 35 WIDE

Facility

$122.46

Hospital Charge Code	270649770
Hospital Revenue Code	272
Min. Negotiated Rate	$2.95
Max. Negotiated Rate	$61.23
Rate for Payer: Aetna Commercial	$46.53
Rate for Payer: Aetna Medicare Advantage	$36.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.23
Rate for Payer: Cigna Commercial	$61.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.74
Rate for Payer: Oxford Commercial	$24.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.37
Rate for Payer: UnitedHealthcare Commercial	$24.49
Rate for Payer: UnitedHealthcare Community & State	$2.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.25

STAPLER SPEED TITAN 20X20X20MM

Facility

$7,500.00

Hospital Charge Code	270681818
Hospital Revenue Code	272
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

STAPLER SPEED TITAN 20X20X20MM

Facility

$7,500.00

Hospital Charge Code	270681818
Hospital Revenue Code	272
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,250.00
Rate for Payer: Oxford Commercial	$1,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$1,500.00
Rate for Payer: UnitedHealthcare Community & State	$180.75
Rate for Payer: Wellpoint Medicaid Managed Care	$198.75

STAPLER SUREFORM 60

Facility

$2,650.00

Hospital Charge Code	270687008
Hospital Revenue Code	272
Min. Negotiated Rate	$63.87
Max. Negotiated Rate	$1,325.00
Rate for Payer: Aetna Commercial	$1,007.00
Rate for Payer: Aetna Medicare Advantage	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.75
Rate for Payer: Cigna Commercial	$1,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.00
Rate for Payer: Oxford Commercial	$530.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.50
Rate for Payer: UnitedHealthcare Commercial	$530.00
Rate for Payer: UnitedHealthcare Community & State	$63.87
Rate for Payer: Wellpoint Medicaid Managed Care	$70.22

STAPLER SUREFORM 60

Facility

$2,650.00

Hospital Charge Code	270687008
Hospital Revenue Code	272
Min. Negotiated Rate	$397.50
Max. Negotiated Rate	$397.50
Rate for Payer: Qualcare PPO/HMO/WC	$397.50

Know your out-of-pocket cost for care.

All Charges