Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT ZIMM PANCREAT 5x7 G22360

Facility

$299.25

Hospital Charge Code	270641700
Hospital Revenue Code	278
Min. Negotiated Rate	$44.89
Max. Negotiated Rate	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$65.83
Rate for Payer: Qualcare PPO/HMO/WC	$44.89

STENT ZIMM PANCREAT 5x7 G22360

Facility

$299.25

Hospital Charge Code	270641700
Hospital Revenue Code	278
Min. Negotiated Rate	$7.21
Max. Negotiated Rate	$149.62
Rate for Payer: Aetna Commercial	$113.72
Rate for Payer: Aetna Medicare Advantage	$89.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.31
Rate for Payer: Cigna Commercial	$149.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$65.83
Rate for Payer: Qualcare PPO/HMO/WC	$44.89
Rate for Payer: UnitedHealthcare Community & State	$7.21
Rate for Payer: Wellpoint Medicaid Managed Care	$7.93

STENT ZLV BILI 80x60 ZIV780860

Facility

$6,423.25

Hospital Charge Code	270629915
Hospital Revenue Code	278
Min. Negotiated Rate	$963.49
Max. Negotiated Rate	$1,554.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,284.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,554.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,413.12
Rate for Payer: Qualcare PPO/HMO/WC	$963.49

STENT ZLV BILI 80x60 ZIV780860

Facility

$6,423.25

Hospital Charge Code	270629915V
Hospital Revenue Code	278
Min. Negotiated Rate	$963.49
Max. Negotiated Rate	$1,554.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,284.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,554.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,413.12
Rate for Payer: Qualcare PPO/HMO/WC	$963.49

STENT ZLV BILI 80x60 ZIV780860

Facility

$6,423.25

Hospital Charge Code	270629915
Hospital Revenue Code	278
Min. Negotiated Rate	$154.80
Max. Negotiated Rate	$3,211.62
Rate for Payer: Aetna Commercial	$2,440.84
Rate for Payer: Aetna Medicare Advantage	$1,926.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,637.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,637.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,284.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,637.93
Rate for Payer: Cigna Commercial	$3,211.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,554.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,413.12
Rate for Payer: Qualcare PPO/HMO/WC	$963.49
Rate for Payer: UnitedHealthcare Community & State	$154.80
Rate for Payer: Wellpoint Medicaid Managed Care	$170.22

STENT ZLV BILI 80x60 ZIV780860

Facility

$6,423.25

Hospital Charge Code	270629915V
Hospital Revenue Code	278
Min. Negotiated Rate	$154.80
Max. Negotiated Rate	$3,211.62
Rate for Payer: Aetna Commercial	$2,440.84
Rate for Payer: Aetna Medicare Advantage	$1,926.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,637.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,637.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,284.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,637.93
Rate for Payer: Cigna Commercial	$3,211.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,554.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,413.12
Rate for Payer: Qualcare PPO/HMO/WC	$963.49
Rate for Payer: UnitedHealthcare Community & State	$154.80
Rate for Payer: Wellpoint Medicaid Managed Care	$170.22

STE P 7x150x120 SERB6507150120

Facility

$7,500.00

Hospital Charge Code	270637006
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

STE P 7x150x120 SERB6507150120

Facility

$7,500.00

Hospital Charge Code	270637006
Hospital Revenue Code	278
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) NJ Health	$1,500.00
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	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Community & State	$180.75
Rate for Payer: Wellpoint Medicaid Managed Care	$198.75

STEPDRILL SOLID FOR LAG SCREW

Facility

$1,845.00

Hospital Charge Code	270670504
Hospital Revenue Code	272
Min. Negotiated Rate	$44.46
Max. Negotiated Rate	$922.50
Rate for Payer: Aetna Commercial	$701.10
Rate for Payer: Aetna Medicare Advantage	$553.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$470.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$470.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$470.48
Rate for Payer: Cigna Commercial	$922.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$553.50
Rate for Payer: Oxford Commercial	$369.00
Rate for Payer: Qualcare PPO/HMO/WC	$276.75
Rate for Payer: UnitedHealthcare Commercial	$369.00
Rate for Payer: UnitedHealthcare Community & State	$44.46
Rate for Payer: Wellpoint Medicaid Managed Care	$48.89

STEPDRILL SOLID FOR LAG SCREW

Facility

$1,845.00

Hospital Charge Code	270670504
Hospital Revenue Code	272
Min. Negotiated Rate	$276.75
Max. Negotiated Rate	$276.75
Rate for Payer: Qualcare PPO/HMO/WC	$276.75

STE PR 6X80X120mm PRB350680120

Facility

$6,624.80

Service Code	HCPCS C1876
Hospital Charge Code	270637004C
Hospital Revenue Code	278
Min. Negotiated Rate	$159.66
Max. Negotiated Rate	$3,312.40
Rate for Payer: Aetna Commercial	$2,517.42
Rate for Payer: Aetna Medicare Advantage	$1,987.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,689.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,689.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,324.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,689.32
Rate for Payer: Cigna Commercial	$3,312.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,603.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,457.46
Rate for Payer: Qualcare PPO/HMO/WC	$993.72
Rate for Payer: UnitedHealthcare Community & State	$159.66
Rate for Payer: Wellpoint Medicaid Managed Care	$175.56

STE PR 6X80X120mm PRB350680120

Facility

$6,624.80

Service Code	HCPCS C1876
Hospital Charge Code	270637004C
Hospital Revenue Code	278
Min. Negotiated Rate	$993.72
Max. Negotiated Rate	$1,603.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,324.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,603.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,457.46
Rate for Payer: Qualcare PPO/HMO/WC	$993.72

STE PROM RX 3.5X8M 100954208B

Facility

$10,250.00

Hospital Charge Code	270641985C
Hospital Revenue Code	278
Min. Negotiated Rate	$247.03
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,895.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50
Rate for Payer: UnitedHealthcare Community & State	$247.03
Rate for Payer: Wellpoint Medicaid Managed Care	$271.62

STE PROM RX 3.5X8M 100954208B

Facility

$10,250.00

Hospital Charge Code	270641985C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

STE PRO RX 2.75X23CM100954023B

Facility

$10,250.00

Hospital Charge Code	270642028C
Hospital Revenue Code	278
Min. Negotiated Rate	$247.03
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,895.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50
Rate for Payer: UnitedHealthcare Community & State	$247.03
Rate for Payer: Wellpoint Medicaid Managed Care	$271.62

STE PRO RX 2.75X23CM100954023B

Facility

$10,250.00

Hospital Charge Code	270642028C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

STE PRO RX 2.75X28MM100954028B

Facility

$10,250.00

Hospital Charge Code	270642129C
Hospital Revenue Code	278
Min. Negotiated Rate	$247.03
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,895.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50
Rate for Payer: UnitedHealthcare Community & State	$247.03
Rate for Payer: Wellpoint Medicaid Managed Care	$271.62

STE PRO RX 2.75X28MM100954028B

Facility

$10,250.00

Hospital Charge Code	270642129C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

STEP STAPLE 6MM

Facility

$12,070.00

Hospital Charge Code	270700549
Hospital Revenue Code	272
Min. Negotiated Rate	$1,810.50
Max. Negotiated Rate	$1,810.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,810.50

STEP STAPLE 6MM

Facility

$12,070.00

Hospital Charge Code	270700549
Hospital Revenue Code	272
Min. Negotiated Rate	$290.89
Max. Negotiated Rate	$6,035.00
Rate for Payer: Aetna Commercial	$4,586.60
Rate for Payer: Aetna Medicare Advantage	$3,621.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,077.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,077.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,077.85
Rate for Payer: Cigna Commercial	$6,035.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,621.00
Rate for Payer: Oxford Commercial	$2,414.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,810.50
Rate for Payer: UnitedHealthcare Commercial	$2,414.00
Rate for Payer: UnitedHealthcare Community & State	$290.89
Rate for Payer: Wellpoint Medicaid Managed Care	$319.86

STEREO BREAST BX EA ADDL LESIO

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	2700025
Hospital Revenue Code	361
Min. Negotiated Rate	$77.47
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,221.59
Rate for Payer: Aetna Medicare Advantage	$964.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$819.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$819.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$819.75
Rate for Payer: Cigna Commercial	$1,607.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$964.41
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.20
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$77.47
Rate for Payer: Wellpoint Medicaid Managed Care	$85.19

STEREO BREAST BX EA ADDL LESIO

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	2700025
Hospital Revenue Code	361
Min. Negotiated Rate	$482.20
Max. Negotiated Rate	$482.20
Rate for Payer: Qualcare PPO/HMO/WC	$482.20

STEREO BREAST BX EA ADDL LESIO

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	87502807
Hospital Revenue Code	361
Min. Negotiated Rate	$482.20
Max. Negotiated Rate	$482.20
Rate for Payer: Qualcare PPO/HMO/WC	$482.20

STEREO BREAST BX EA ADDL LESIO

Facility

$3,214.70

Service Code	HCPCS 19082
Hospital Charge Code	87502807
Hospital Revenue Code	361
Min. Negotiated Rate	$77.47
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,221.59
Rate for Payer: Aetna Medicare Advantage	$964.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$819.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$819.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$819.75
Rate for Payer: Cigna Commercial	$1,607.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$964.41
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$482.20
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$77.47
Rate for Payer: Wellpoint Medicaid Managed Care	$85.19

STEREO BREAST LOCAL EA ADD LES

Facility

$1,184.85

Service Code	HCPCS 19284
Hospital Charge Code	2700027
Hospital Revenue Code	361
Min. Negotiated Rate	$177.73
Max. Negotiated Rate	$177.73
Rate for Payer: Qualcare PPO/HMO/WC	$177.73

Know your out-of-pocket cost for care.

All Charges