Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STRAP ANKLE DISTRACTOR 012421

Facility

$172.85

Hospital Charge Code	270624135
Hospital Revenue Code	272
Min. Negotiated Rate	$4.17
Max. Negotiated Rate	$86.42
Rate for Payer: Aetna Commercial	$65.68
Rate for Payer: Aetna Medicare Advantage	$51.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.08
Rate for Payer: Cigna Commercial	$86.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.85
Rate for Payer: Oxford Commercial	$34.57
Rate for Payer: Qualcare PPO/HMO/WC	$25.93
Rate for Payer: UnitedHealthcare Commercial	$34.57
Rate for Payer: UnitedHealthcare Community & State	$4.17
Rate for Payer: Wellpoint Medicaid Managed Care	$4.58

STRAP ANKLE DISTRACTOR 012421

Facility

$172.85

Hospital Charge Code	270624135
Hospital Revenue Code	272
Min. Negotiated Rate	$25.93
Max. Negotiated Rate	$25.93
Rate for Payer: Qualcare PPO/HMO/WC	$25.93

STRAP ANKLE DISTRACTOR FOOT***

Facility

$65.00

Hospital Charge Code	1607308
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$24.70
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$13.00
Rate for Payer: UnitedHealthcare Community & State	$1.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

STRAP ANKLE DISTRACTOR FOOT***

Facility

$65.00

Hospital Charge Code	1607308
Hospital Revenue Code	272
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

STRAP ANKLE STER 014407

Facility

$312.00

Hospital Charge Code	270613998
Hospital Revenue Code	272
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$46.80
Rate for Payer: Qualcare PPO/HMO/WC	$46.80

STRAP ANKLE STER 014407

Facility

$312.00

Hospital Charge Code	270613998
Hospital Revenue Code	272
Min. Negotiated Rate	$7.52
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$118.56
Rate for Payer: Aetna Medicare Advantage	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.56
Rate for Payer: Cigna Commercial	$156.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.60
Rate for Payer: Oxford Commercial	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$46.80
Rate for Payer: UnitedHealthcare Commercial	$62.40
Rate for Payer: UnitedHealthcare Community & State	$7.52
Rate for Payer: Wellpoint Medicaid Managed Care	$8.27

STRAP CATHETER

Facility

$20.23

Hospital Charge Code	270303059
Hospital Revenue Code	270
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$10.12
Rate for Payer: Aetna Commercial	$7.69
Rate for Payer: Aetna Medicare Advantage	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.16
Rate for Payer: Cigna Commercial	$10.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.07
Rate for Payer: Oxford Commercial	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.03
Rate for Payer: UnitedHealthcare Commercial	$4.05
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

STRAP CATHETER

Facility

$20.23

Hospital Charge Code	270303059
Hospital Revenue Code	270
Min. Negotiated Rate	$3.03
Max. Negotiated Rate	$3.03
Rate for Payer: Qualcare PPO/HMO/WC	$3.03

STRAP CATHETER LEG

Facility

$18.50

Hospital Charge Code	270651078
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$2.77
Rate for Payer: Qualcare PPO/HMO/WC	$2.77

STRAP CATHETER LEG

Facility

$18.50

Hospital Charge Code	270651078
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$9.25
Rate for Payer: Aetna Commercial	$7.03
Rate for Payer: Aetna Medicare Advantage	$5.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.72
Rate for Payer: Cigna Commercial	$9.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.55
Rate for Payer: Oxford Commercial	$3.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.77
Rate for Payer: UnitedHealthcare Commercial	$3.70
Rate for Payer: UnitedHealthcare Community & State	$0.45
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

STRAP CIRCUMCISION ******

Facility

$4.00

Hospital Charge Code	1801091
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
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

STRAP CIRCUMCISION ******

Facility

$4.00

Hospital Charge Code	1801091
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

STRAP CIRCUMCISION DISP

Facility

$4.00

Hospital Charge Code	270600465
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
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

STRAP CIRCUMCISION DISP

Facility

$4.00

Hospital Charge Code	270600465
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

STRAP CIRCUMSTRAINT

Facility

$332.85

Hospital Charge Code	270600474
Hospital Revenue Code	272
Min. Negotiated Rate	$8.02
Max. Negotiated Rate	$166.43
Rate for Payer: Aetna Commercial	$126.48
Rate for Payer: Aetna Medicare Advantage	$99.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.88
Rate for Payer: Cigna Commercial	$166.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.86
Rate for Payer: Oxford Commercial	$66.57
Rate for Payer: Qualcare PPO/HMO/WC	$49.93
Rate for Payer: UnitedHealthcare Commercial	$66.57
Rate for Payer: UnitedHealthcare Community & State	$8.02
Rate for Payer: Wellpoint Medicaid Managed Care	$8.82

STRAP CIRCUMSTRAINT

Facility

$332.85

Hospital Charge Code	270600474
Hospital Revenue Code	272
Min. Negotiated Rate	$49.93
Max. Negotiated Rate	$49.93
Rate for Payer: Qualcare PPO/HMO/WC	$49.93

STRAP CLAVICLE ******

Facility

$35.00

Hospital Charge Code	8001901
Hospital Revenue Code	279
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

STRAP CLAVICLE ******

Facility

$35.00

Hospital Charge Code	8001901
Hospital Revenue Code	279
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

STRAP CLAVICLE LGE

Facility

$39.10

Hospital Charge Code	270303065
Hospital Revenue Code	270
Min. Negotiated Rate	$5.87
Max. Negotiated Rate	$5.87
Rate for Payer: Qualcare PPO/HMO/WC	$5.87

STRAP CLAVICLE LGE

Facility

$39.10

Hospital Charge Code	270303065
Hospital Revenue Code	270
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$19.55
Rate for Payer: Aetna Commercial	$14.86
Rate for Payer: Aetna Medicare Advantage	$11.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.97
Rate for Payer: Cigna Commercial	$19.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.73
Rate for Payer: Oxford Commercial	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.87
Rate for Payer: UnitedHealthcare Commercial	$7.82
Rate for Payer: UnitedHealthcare Community & State	$0.94
Rate for Payer: Wellpoint Medicaid Managed Care	$1.04

STRAP CLAVICLE MED

Facility

$26.85

Hospital Charge Code	270303060
Hospital Revenue Code	270
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$4.03
Rate for Payer: Qualcare PPO/HMO/WC	$4.03

STRAP CLAVICLE MED

Facility

$26.85

Hospital Charge Code	270303060
Hospital Revenue Code	270
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.43
Rate for Payer: Aetna Commercial	$10.20
Rate for Payer: Aetna Medicare Advantage	$8.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.85
Rate for Payer: Cigna Commercial	$13.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.05
Rate for Payer: Oxford Commercial	$5.37
Rate for Payer: Qualcare PPO/HMO/WC	$4.03
Rate for Payer: UnitedHealthcare Commercial	$5.37
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

STRAP COTTON W/LOCK 48

Facility

$144.85

Hospital Charge Code	270603387
Hospital Revenue Code	270
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.42
Rate for Payer: Aetna Commercial	$55.04
Rate for Payer: Aetna Medicare Advantage	$43.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.94
Rate for Payer: Cigna Commercial	$72.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.45
Rate for Payer: Oxford Commercial	$28.97
Rate for Payer: Qualcare PPO/HMO/WC	$21.73
Rate for Payer: UnitedHealthcare Commercial	$28.97
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

STRAP COTTON W/LOCK 48

Facility

$144.85

Hospital Charge Code	270603387
Hospital Revenue Code	270
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$21.73
Rate for Payer: Qualcare PPO/HMO/WC	$21.73

STRAP FACE HD FACEMASK 1007365

Facility

$99.05

Hospital Charge Code	270638083
Hospital Revenue Code	272
Min. Negotiated Rate	$14.86
Max. Negotiated Rate	$14.86
Rate for Payer: Qualcare PPO/HMO/WC	$14.86

Know your out-of-pocket cost for care.

All Charges