Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STRIP ILIUM TRCORT 60MM 100530

Facility

$3,414.45

Hospital Charge Code	270609382
Hospital Revenue Code	278
Min. Negotiated Rate	$82.29
Max. Negotiated Rate	$1,707.22
Rate for Payer: Aetna Commercial	$1,297.49
Rate for Payer: Aetna Medicare Advantage	$1,024.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$870.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$870.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$682.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$870.68
Rate for Payer: Cigna Commercial	$1,707.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$751.18
Rate for Payer: Qualcare PPO/HMO/WC	$512.17
Rate for Payer: UnitedHealthcare Community & State	$82.29
Rate for Payer: Wellpoint Medicaid Managed Care	$90.48

STRIP ILIUM TRICORT LG T-1551

Facility

$3,548.85

Hospital Charge Code	270615601
Hospital Revenue Code	272
Min. Negotiated Rate	$85.53
Max. Negotiated Rate	$1,774.42
Rate for Payer: Aetna Commercial	$1,348.56
Rate for Payer: Aetna Medicare Advantage	$1,064.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$904.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$904.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$904.96
Rate for Payer: Cigna Commercial	$1,774.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,064.65
Rate for Payer: Oxford Commercial	$709.77
Rate for Payer: Qualcare PPO/HMO/WC	$532.33
Rate for Payer: UnitedHealthcare Commercial	$709.77
Rate for Payer: UnitedHealthcare Community & State	$85.53
Rate for Payer: Wellpoint Medicaid Managed Care	$94.04

STRIP ILIUM TRICORT LG T-1551

Facility

$3,548.85

Hospital Charge Code	270615601
Hospital Revenue Code	272
Min. Negotiated Rate	$532.33
Max. Negotiated Rate	$532.33
Rate for Payer: Qualcare PPO/HMO/WC	$532.33

STRIP OSTEO SPONGE 50x20x7MM

Facility

$11,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270664105
Hospital Revenue Code	278
Min. Negotiated Rate	$276.55
Max. Negotiated Rate	$5,737.50
Rate for Payer: Aetna Commercial	$4,360.50
Rate for Payer: Aetna Medicare Advantage	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,926.12
Rate for Payer: Cigna Commercial	$5,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,776.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,524.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25
Rate for Payer: UnitedHealthcare Community & State	$276.55
Rate for Payer: Wellpoint Medicaid Managed Care	$304.09

STRIP OSTEO SPONGE 50x20x7MM

Facility

$11,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270664105
Hospital Revenue Code	278
Min. Negotiated Rate	$1,721.25
Max. Negotiated Rate	$2,776.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,776.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,524.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25

STRIPPER VEIN DISP

Facility

$26.40

Hospital Charge Code	270600422
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.20
Rate for Payer: Aetna Commercial	$10.03
Rate for Payer: Aetna Medicare Advantage	$7.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.73
Rate for Payer: Cigna Commercial	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.92
Rate for Payer: Oxford Commercial	$5.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.96
Rate for Payer: UnitedHealthcare Commercial	$5.28
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

STRIPPER VEIN DISP

Facility

$26.40

Hospital Charge Code	270600422
Hospital Revenue Code	272
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

STRIPS SURGICAL 3/4x6

Facility

$6.45

Hospital Charge Code	270608223
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

STRIPS SURGICAL 3/4x6

Facility

$6.45

Hospital Charge Code	270608223
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.23
Rate for Payer: Aetna Commercial	$2.45
Rate for Payer: Aetna Medicare Advantage	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.94
Rate for Payer: Oxford Commercial	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$1.29
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

STRIP STOMAHESIVE 025542

Facility

$5.65

Hospital Charge Code	270611002
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

STRIP STOMAHESIVE 025542

Facility

$5.65

Hospital Charge Code	270611002
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

STRIP SURGICAL 1/2 X 6

Facility

$11.23

Hospital Charge Code	270607227
Hospital Revenue Code	272
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$1.68
Rate for Payer: Qualcare PPO/HMO/WC	$1.68

STRIP SURGICAL 1/2 X 6

Facility

$11.23

Hospital Charge Code	270607227
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.27
Rate for Payer: Aetna Medicare Advantage	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.86
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.37
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.68
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

STRM MDS SCREW 3.5X12MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270694005
Hospital Revenue Code	278
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

STRM MDS SCREW 3.5X12MM

Facility

$1,200.00

Service Code	HCPCS C1713
Hospital Charge Code	270694005
Hospital Revenue Code	278
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Community & State	$28.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.80

STRM TORQ LIMIT HANDLE 2NM ST

Facility

$2,160.00

Hospital Charge Code	270694259
Hospital Revenue Code	272
Min. Negotiated Rate	$52.06
Max. Negotiated Rate	$1,080.00
Rate for Payer: Aetna Commercial	$820.80
Rate for Payer: Aetna Medicare Advantage	$648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.80
Rate for Payer: Cigna Commercial	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$648.00
Rate for Payer: Oxford Commercial	$432.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00
Rate for Payer: UnitedHealthcare Commercial	$432.00
Rate for Payer: UnitedHealthcare Community & State	$52.06
Rate for Payer: Wellpoint Medicaid Managed Care	$57.24

STRM TORQ LIMIT HANDLE 2NM ST

Facility

$2,160.00

Hospital Charge Code	270694259
Hospital Revenue Code	272
Min. Negotiated Rate	$324.00
Max. Negotiated Rate	$324.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00

STRONG IODINE SOL

Facility

$105.65

Hospital Charge Code	60628263
Hospital Revenue Code	250
Min. Negotiated Rate	$15.85
Max. Negotiated Rate	$15.85
Rate for Payer: Qualcare PPO/HMO/WC	$15.85

STRONG IODINE SOL

Facility

$105.65

Hospital Charge Code	60628263
Hospital Revenue Code	250
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$52.83
Rate for Payer: Aetna Commercial	$40.15
Rate for Payer: Aetna Medicare Advantage	$31.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.94
Rate for Payer: Cigna Commercial	$52.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.70
Rate for Payer: Oxford Commercial	$21.13
Rate for Payer: Qualcare PPO/HMO/WC	$15.85
Rate for Payer: UnitedHealthcare Commercial	$21.13
Rate for Payer: UnitedHealthcare Community & State	$2.55
Rate for Payer: Wellpoint Medicaid Managed Care	$2.80

STRONGYLOIDES AB IGG

Facility

$131.25

Service Code	HCPCS 86317
Hospital Charge Code	3035142
Hospital Revenue Code	302
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

STRONGYLOIDES AB IGG

Facility

$131.25

Service Code	HCPCS 86317
Hospital Charge Code	3035142
Hospital Revenue Code	302
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$40.77
Rate for Payer: Aetna Medicare Advantage	$48.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.11
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: Cigna Medicare Advantage	$14.99
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$11.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.99
Rate for Payer: Wellcare Medicare Advantage	$14.99
Rate for Payer: Wellpoint Medicaid Managed Care	$3.48

STRONGYLOIDES AB (IGG), I

Facility

$103.05

Service Code	HCPCS 86317
Hospital Charge Code	39990030A
Hospital Revenue Code	302
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$40.77
Rate for Payer: Aetna Medicare Advantage	$48.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.11
Rate for Payer: Cigna Commercial	$51.52
Rate for Payer: Cigna Medicare Advantage	$14.99
Rate for Payer: Clover Medicare Advantage	$14.24
Rate for Payer: EmblemHealth Commercial	$44.97
Rate for Payer: Humana Medicare Advantage	$15.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.46
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$11.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.99
Rate for Payer: Wellcare Medicare Advantage	$14.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.73

STRONGYLOIDES AB (IGG), I

Facility

$103.05

Service Code	HCPCS 86317
Hospital Charge Code	39990030A
Hospital Revenue Code	302
Min. Negotiated Rate	$15.46
Max. Negotiated Rate	$15.46
Rate for Payer: Qualcare PPO/HMO/WC	$15.46

STRONGYLOIDES AB (IGG), II

Facility

$89.40

Service Code	HCPCS 86682
Hospital Charge Code	39990030B
Hospital Revenue Code	302
Min. Negotiated Rate	$13.41
Max. Negotiated Rate	$13.41
Rate for Payer: Qualcare PPO/HMO/WC	$13.41

STRONGYLOIDES AB (IGG), II

Facility

$89.40

Service Code	HCPCS 86682
Hospital Charge Code	39990030B
Hospital Revenue Code	302
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$35.39
Rate for Payer: Aetna Medicare Advantage	$42.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.96
Rate for Payer: Cigna Commercial	$44.70
Rate for Payer: Cigna Medicare Advantage	$13.01
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.41
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Medicare Advantage	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.37

Know your out-of-pocket cost for care.

All Charges