Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STICK DRESSING THER. A698-5

Facility

$24.85

Hospital Charge Code	270613432
Hospital Revenue Code	279
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

STICK MINI 4FR 7CM

Facility

$85.00

Hospital Charge Code	270665911
Hospital Revenue Code	270
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.50
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$2.25

STICK MINI 4FR 7CM

Facility

$85.00

Hospital Charge Code	270665911
Hospital Revenue Code	270
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

STICK QUICK ICP MONITR 0295002

Facility

$422.45

Hospital Charge Code	270600152
Hospital Revenue Code	270
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$63.37
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

STICK QUICK ICP MONITR 0295002

Facility

$422.45

Hospital Charge Code	270600152
Hospital Revenue Code	270
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$211.22
Rate for Payer: Aetna Commercial	$160.53
Rate for Payer: Aetna Medicare Advantage	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.72
Rate for Payer: Cigna Commercial	$211.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.73
Rate for Payer: Oxford Commercial	$84.49
Rate for Payer: Qualcare PPO/HMO/WC	$63.37
Rate for Payer: UnitedHealthcare Commercial	$84.49
Rate for Payer: UnitedHealthcare Community & State	$10.18
Rate for Payer: Wellpoint Medicaid Managed Care	$11.19

STIFF CRESCENT MEDIUM

Facility

$65.75

Hospital Charge Code	270665798
Hospital Revenue Code	270
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.88
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$19.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.77
Rate for Payer: Cigna Commercial	$32.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.73
Rate for Payer: Oxford Commercial	$13.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.86
Rate for Payer: UnitedHealthcare Commercial	$13.15
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

STIFF CRESCENT MEDIUM

Facility

$65.75

Hospital Charge Code	270665798
Hospital Revenue Code	270
Min. Negotiated Rate	$9.86
Max. Negotiated Rate	$9.86
Rate for Payer: Qualcare PPO/HMO/WC	$9.86

STIFF HEXAGONAL MEDIUM

Facility

$65.75

Hospital Charge Code	270665797
Hospital Revenue Code	272
Min. Negotiated Rate	$9.86
Max. Negotiated Rate	$9.86
Rate for Payer: Qualcare PPO/HMO/WC	$9.86

STIFF HEXAGONAL MEDIUM

Facility

$65.75

Hospital Charge Code	270665797
Hospital Revenue Code	272
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.88
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$19.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.77
Rate for Payer: Cigna Commercial	$32.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.73
Rate for Payer: Oxford Commercial	$13.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.86
Rate for Payer: UnitedHealthcare Commercial	$13.15
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

STIFFNECK SELECT

Facility

$39.55

Hospital Charge Code	270653986
Hospital Revenue Code	270
Min. Negotiated Rate	$5.93
Max. Negotiated Rate	$5.93
Rate for Payer: Qualcare PPO/HMO/WC	$5.93

STIFFNECK SELECT

Facility

$39.55

Hospital Charge Code	270653986
Hospital Revenue Code	270
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$19.77
Rate for Payer: Aetna Commercial	$15.03
Rate for Payer: Aetna Medicare Advantage	$11.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.09
Rate for Payer: Cigna Commercial	$19.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.87
Rate for Payer: Oxford Commercial	$7.91
Rate for Payer: Qualcare PPO/HMO/WC	$5.93
Rate for Payer: UnitedHealthcare Commercial	$7.91
Rate for Payer: UnitedHealthcare Community & State	$0.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

STIFF OVAL MEDIUM

Facility

$68.50

Hospital Charge Code	270665796
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$34.25
Rate for Payer: Aetna Commercial	$26.03
Rate for Payer: Aetna Medicare Advantage	$20.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.47
Rate for Payer: Cigna Commercial	$34.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.55
Rate for Payer: Oxford Commercial	$13.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.28
Rate for Payer: UnitedHealthcare Commercial	$13.70
Rate for Payer: UnitedHealthcare Community & State	$1.65
Rate for Payer: Wellpoint Medicaid Managed Care	$1.82

STIFF OVAL MEDIUM

Facility

$68.50

Hospital Charge Code	270665796
Hospital Revenue Code	272
Min. Negotiated Rate	$10.28
Max. Negotiated Rate	$10.28
Rate for Payer: Qualcare PPO/HMO/WC	$10.28

STIFF OVAL SMALL

Facility

$68.50

Hospital Charge Code	270665795
Hospital Revenue Code	272
Min. Negotiated Rate	$10.28
Max. Negotiated Rate	$10.28
Rate for Payer: Qualcare PPO/HMO/WC	$10.28

STIFF OVAL SMALL

Facility

$68.50

Hospital Charge Code	270665795
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$34.25
Rate for Payer: Aetna Commercial	$26.03
Rate for Payer: Aetna Medicare Advantage	$20.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.47
Rate for Payer: Cigna Commercial	$34.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.55
Rate for Payer: Oxford Commercial	$13.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.28
Rate for Payer: UnitedHealthcare Commercial	$13.70
Rate for Payer: UnitedHealthcare Community & State	$1.65
Rate for Payer: Wellpoint Medicaid Managed Care	$1.82

STIFF ROUND EXTRA LARGE

Facility

$75.80

Hospital Charge Code	270665799
Hospital Revenue Code	272
Min. Negotiated Rate	$11.37
Max. Negotiated Rate	$11.37
Rate for Payer: Qualcare PPO/HMO/WC	$11.37

STIFF ROUND EXTRA LARGE

Facility

$75.80

Hospital Charge Code	270665799
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$37.90
Rate for Payer: Aetna Commercial	$28.80
Rate for Payer: Aetna Medicare Advantage	$22.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.33
Rate for Payer: Cigna Commercial	$37.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.74
Rate for Payer: Oxford Commercial	$15.16
Rate for Payer: Qualcare PPO/HMO/WC	$11.37
Rate for Payer: UnitedHealthcare Commercial	$15.16
Rate for Payer: UnitedHealthcare Community & State	$1.83
Rate for Payer: Wellpoint Medicaid Managed Care	$2.01

STIF GLIDWIR ANG 035 5FR 150CM

Facility

$220.00

Hospital Charge Code	270678968
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

STIF GLIDWIR ANG 035 5FR 150CM

Facility

$220.00

Hospital Charge Code	270678968
Hospital Revenue Code	272
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.00
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5.83

STIM BONE GROW SHOULD 5212091A

Facility

$19,750.00

Hospital Charge Code	270637813
Hospital Revenue Code	272
Min. Negotiated Rate	$2,962.50
Max. Negotiated Rate	$2,962.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,962.50

STIM BONE GROW SHOULD 5212091A

Facility

$19,750.00

Hospital Charge Code	270637813
Hospital Revenue Code	272
Min. Negotiated Rate	$475.98
Max. Negotiated Rate	$9,875.00
Rate for Payer: Aetna Commercial	$7,505.00
Rate for Payer: Aetna Medicare Advantage	$5,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,036.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,036.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,036.25
Rate for Payer: Cigna Commercial	$9,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,925.00
Rate for Payer: Oxford Commercial	$3,950.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,962.50
Rate for Payer: UnitedHealthcare Commercial	$3,950.00
Rate for Payer: UnitedHealthcare Community & State	$475.98
Rate for Payer: Wellpoint Medicaid Managed Care	$523.38

STIM BONE GRW OSTEOG 10-1320M

Facility

$27,180.85

Hospital Charge Code	270636730
Hospital Revenue Code	272
Min. Negotiated Rate	$4,077.13
Max. Negotiated Rate	$4,077.13
Rate for Payer: Qualcare PPO/HMO/WC	$4,077.13

STIM BONE GRW OSTEOG 10-1320M

Facility

$27,180.85

Hospital Charge Code	270636730
Hospital Revenue Code	272
Min. Negotiated Rate	$655.06
Max. Negotiated Rate	$13,590.42
Rate for Payer: Aetna Commercial	$10,328.72
Rate for Payer: Aetna Medicare Advantage	$8,154.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,931.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,931.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,931.12
Rate for Payer: Cigna Commercial	$13,590.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,154.26
Rate for Payer: Oxford Commercial	$5,436.17
Rate for Payer: Qualcare PPO/HMO/WC	$4,077.13
Rate for Payer: UnitedHealthcare Commercial	$5,436.17
Rate for Payer: UnitedHealthcare Community & State	$655.06
Rate for Payer: Wellpoint Medicaid Managed Care	$720.29

STIMULATION GROUND CABLE

Facility

$38.30

Hospital Charge Code	270702025
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$9.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$5.75

STIMULATION GROUND CABLE

Facility

$38.30

Hospital Charge Code	270702025
Hospital Revenue Code	278
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$19.15
Rate for Payer: Aetna Commercial	$14.55
Rate for Payer: Aetna Medicare Advantage	$11.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.77
Rate for Payer: Cigna Commercial	$19.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$5.75
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

Know your out-of-pocket cost for care.

All Charges