Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STERILE WATER FOR IRRIG 2000ML

Facility

$8.20

Hospital Charge Code	60630174
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.23

STERILE WATER FOR IRRIG 2000ML

Facility

$8.20

Hospital Charge Code	60630174
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.10
Rate for Payer: Aetna Commercial	$3.12
Rate for Payer: Aetna Medicare Advantage	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.09
Rate for Payer: Cigna Commercial	$4.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.46
Rate for Payer: Oxford Commercial	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.23
Rate for Payer: UnitedHealthcare Commercial	$1.64
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

STERILE WATER FOR IRRIG 500ML

Facility

$4.80

Hospital Charge Code	60630172
Hospital Revenue Code	272
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$0.72
Rate for Payer: Qualcare PPO/HMO/WC	$0.72

STERILE WATER FOR IRRIG 500ML

Facility

$4.80

Hospital Charge Code	60630172
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.40
Rate for Payer: Aetna Commercial	$1.82
Rate for Payer: Aetna Medicare Advantage	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.22
Rate for Payer: Cigna Commercial	$2.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.44
Rate for Payer: Oxford Commercial	$0.96
Rate for Payer: Qualcare PPO/HMO/WC	$0.72
Rate for Payer: UnitedHealthcare Commercial	$0.96
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

STERILE WATER INJ 20ML

Facility

$1.95

Hospital Charge Code	60628712
Hospital Revenue Code	250
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.74
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.59
Rate for Payer: Oxford Commercial	$0.39
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.39
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

STERILE WATER INJ 20ML

Facility

$1.95

Hospital Charge Code	60628712
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

STERILE WATER INJ 50ML

Facility

$17.95

Hospital Charge Code	60628713
Hospital Revenue Code	250
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$2.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.69

STERILE WATER INJ 50ML

Facility

$17.95

Hospital Charge Code	60628713
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$8.97
Rate for Payer: Aetna Commercial	$6.82
Rate for Payer: Aetna Medicare Advantage	$5.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.58
Rate for Payer: Cigna Commercial	$8.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.38
Rate for Payer: Oxford Commercial	$3.59
Rate for Payer: Qualcare PPO/HMO/WC	$2.69
Rate for Payer: UnitedHealthcare Commercial	$3.59
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

STERILIZATION CASE CHONDRO PIC

Facility

$2,075.00

Hospital Charge Code	270689603
Hospital Revenue Code	272
Min. Negotiated Rate	$311.25
Max. Negotiated Rate	$311.25
Rate for Payer: Qualcare PPO/HMO/WC	$311.25

STERILIZATION CASE CHONDRO PIC

Facility

$2,075.00

Hospital Charge Code	270689603
Hospital Revenue Code	272
Min. Negotiated Rate	$50.01
Max. Negotiated Rate	$1,037.50
Rate for Payer: Aetna Commercial	$788.50
Rate for Payer: Aetna Medicare Advantage	$622.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$529.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$529.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$529.12
Rate for Payer: Cigna Commercial	$1,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.50
Rate for Payer: Oxford Commercial	$415.00
Rate for Payer: Qualcare PPO/HMO/WC	$311.25
Rate for Payer: UnitedHealthcare Commercial	$415.00
Rate for Payer: UnitedHealthcare Community & State	$50.01
Rate for Payer: Wellpoint Medicaid Managed Care	$54.99

STERILIZATION CORNERS

Facility

$1,440.00

Hospital Charge Code	270657723
Hospital Revenue Code	272
Min. Negotiated Rate	$34.70
Max. Negotiated Rate	$720.00
Rate for Payer: Aetna Commercial	$547.20
Rate for Payer: Aetna Medicare Advantage	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.20
Rate for Payer: Cigna Commercial	$720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.00
Rate for Payer: Oxford Commercial	$288.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00
Rate for Payer: UnitedHealthcare Commercial	$288.00
Rate for Payer: UnitedHealthcare Community & State	$34.70
Rate for Payer: Wellpoint Medicaid Managed Care	$38.16

STERILIZATION CORNERS

Facility

$1,440.00

Hospital Charge Code	270657723
Hospital Revenue Code	272
Min. Negotiated Rate	$216.00
Max. Negotiated Rate	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$216.00

STERILIZER BAG 3-1/2 X 5

Facility

$6.36

Hospital Charge Code	270654429
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$3.18
Rate for Payer: Aetna Commercial	$2.42
Rate for Payer: Aetna Medicare Advantage	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.62
Rate for Payer: Cigna Commercial	$3.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Oxford Commercial	$1.27
Rate for Payer: Qualcare PPO/HMO/WC	$0.95
Rate for Payer: UnitedHealthcare Commercial	$1.27
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

STERILIZER BAG 3-1/2 X 5

Facility

$6.36

Hospital Charge Code	270654429
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.95

STERIS 3085 SP BATTERY POWERED

Facility

$174,074.10

Hospital Charge Code	270663229
Hospital Revenue Code	270
Min. Negotiated Rate	$26,111.12
Max. Negotiated Rate	$26,111.12
Rate for Payer: Qualcare PPO/HMO/WC	$26,111.12

STERIS 3085 SP BATTERY POWERED

Facility

$174,074.10

Hospital Charge Code	270663229
Hospital Revenue Code	270
Min. Negotiated Rate	$4,195.19
Max. Negotiated Rate	$87,037.05
Rate for Payer: Aetna Commercial	$66,148.16
Rate for Payer: Aetna Medicare Advantage	$52,222.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,388.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,388.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,388.90
Rate for Payer: Cigna Commercial	$87,037.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52,222.23
Rate for Payer: Oxford Commercial	$34,814.82
Rate for Payer: Qualcare PPO/HMO/WC	$26,111.12
Rate for Payer: UnitedHealthcare Commercial	$34,814.82
Rate for Payer: UnitedHealthcare Community & State	$4,195.19
Rate for Payer: Wellpoint Medicaid Managed Care	$4,612.96

STERI STRIP 1

Facility

$197.10

Hospital Charge Code	270663693
Hospital Revenue Code	270
Min. Negotiated Rate	$29.57
Max. Negotiated Rate	$29.57
Rate for Payer: Qualcare PPO/HMO/WC	$29.57

STERI STRIP 1

Facility

$197.10

Hospital Charge Code	270663693
Hospital Revenue Code	270
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$98.55
Rate for Payer: Aetna Commercial	$74.90
Rate for Payer: Aetna Medicare Advantage	$59.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.26
Rate for Payer: Cigna Commercial	$98.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.13
Rate for Payer: Oxford Commercial	$39.42
Rate for Payer: Qualcare PPO/HMO/WC	$29.57
Rate for Payer: UnitedHealthcare Commercial	$39.42
Rate for Payer: UnitedHealthcare Community & State	$4.75
Rate for Payer: Wellpoint Medicaid Managed Care	$5.22

STERI STRIP 1/2

Facility

$4.02

Hospital Charge Code	27060825
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.01
Rate for Payer: Aetna Commercial	$1.53
Rate for Payer: Aetna Medicare Advantage	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.03
Rate for Payer: Cigna Commercial	$2.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.21
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

STERI STRIP 1/2

Facility

$4.02

Hospital Charge Code	27060825
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

STERI-STRIP 1/2

Facility

$5.00

Hospital Charge Code	270060825S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

STERI-STRIP 1/2

Facility

$5.00

Hospital Charge Code	270060825S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

STERI-STRIP 1/2

Facility

$5.00

Hospital Charge Code	270060825N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

STERI-STRIP 1/2

Facility

$5.00

Hospital Charge Code	270060825N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

STERI-STRIP 1/2

Facility

$5.00

Hospital Charge Code	270060825
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

Know your out-of-pocket cost for care.

All Charges