Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STRYKER 275-541 4.0MM COUGAR**

Facility

$207.00

Hospital Charge Code	1607241
Hospital Revenue Code	251
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$103.50
Rate for Payer: Aetna Commercial	$78.66
Rate for Payer: Aetna Medicare Advantage	$62.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.78
Rate for Payer: Cigna Commercial	$103.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.10
Rate for Payer: Oxford Commercial	$41.40
Rate for Payer: Qualcare PPO/HMO/WC	$31.05
Rate for Payer: UnitedHealthcare Commercial	$41.40
Rate for Payer: UnitedHealthcare Community & State	$4.99
Rate for Payer: Wellpoint Medicaid Managed Care	$5.49

STRYKER 275-541 4.0MM COUGAR**

Facility

$207.00

Hospital Charge Code	1607241
Hospital Revenue Code	251
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

STRYKER 275-551 5.0MM COUGAR**

Facility

$207.00

Hospital Charge Code	1607258
Hospital Revenue Code	251
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$31.05

STRYKER 275-551 5.0MM COUGAR**

Facility

$207.00

Hospital Charge Code	1607258
Hospital Revenue Code	251
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$103.50
Rate for Payer: Aetna Commercial	$78.66
Rate for Payer: Aetna Medicare Advantage	$62.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.78
Rate for Payer: Cigna Commercial	$103.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.10
Rate for Payer: Oxford Commercial	$41.40
Rate for Payer: Qualcare PPO/HMO/WC	$31.05
Rate for Payer: UnitedHealthcare Commercial	$41.40
Rate for Payer: UnitedHealthcare Community & State	$4.99
Rate for Payer: Wellpoint Medicaid Managed Care	$5.49

STRYKER 275-641 20MM MCRO DB**

Facility

$216.00

Hospital Charge Code	1607225
Hospital Revenue Code	251
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$82.08
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.80
Rate for Payer: Oxford Commercial	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$43.20
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$5.72

STRYKER 275-641 20MM MCRO DB**

Facility

$216.00

Hospital Charge Code	1607225
Hospital Revenue Code	251
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

STRYKER 275-647 3.0 MM MICRO**

Facility

$216.00

Hospital Charge Code	1607217
Hospital Revenue Code	251
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$82.08
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.80
Rate for Payer: Oxford Commercial	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$43.20
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$5.72

STRYKER 275-647 3.0 MM MICRO**

Facility

$216.00

Hospital Charge Code	1607217
Hospital Revenue Code	251
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

STRYKER DRI-LOK CANNULA

Facility

$52.00

Hospital Charge Code	270339099
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$10.40
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

STRYKER DRI-LOK CANNULA

Facility

$52.00

Hospital Charge Code	270339099
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

STRYKER-FLOSTEADY ARTHR PUMP

Facility

$102.90

Hospital Charge Code	270339100
Hospital Revenue Code	272
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$51.45
Rate for Payer: Aetna Commercial	$39.10
Rate for Payer: Aetna Medicare Advantage	$30.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.24
Rate for Payer: Cigna Commercial	$51.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.87
Rate for Payer: Oxford Commercial	$20.58
Rate for Payer: Qualcare PPO/HMO/WC	$15.44
Rate for Payer: UnitedHealthcare Commercial	$20.58
Rate for Payer: UnitedHealthcare Community & State	$2.48
Rate for Payer: Wellpoint Medicaid Managed Care	$2.73

STRYKER-FLOSTEADY ARTHR PUMP

Facility

$102.90

Hospital Charge Code	270339100
Hospital Revenue Code	272
Min. Negotiated Rate	$15.44
Max. Negotiated Rate	$15.44
Rate for Payer: Qualcare PPO/HMO/WC	$15.44

STRYKER GUIDE PIN

Facility

$1,604.60

Hospital Charge Code	270704632
Hospital Revenue Code	279
Min. Negotiated Rate	$38.67
Max. Negotiated Rate	$802.30
Rate for Payer: Aetna Commercial	$609.75
Rate for Payer: Aetna Medicare Advantage	$481.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$409.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$409.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$409.17
Rate for Payer: Cigna Commercial	$802.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$481.38
Rate for Payer: Oxford Commercial	$320.92
Rate for Payer: Qualcare PPO/HMO/WC	$240.69
Rate for Payer: UnitedHealthcare Commercial	$320.92
Rate for Payer: UnitedHealthcare Community & State	$38.67
Rate for Payer: Wellpoint Medicaid Managed Care	$42.52

STRYKER GUIDE PIN

Facility

$1,604.60

Hospital Charge Code	270704632
Hospital Revenue Code	279
Min. Negotiated Rate	$240.69
Max. Negotiated Rate	$240.69
Rate for Payer: Qualcare PPO/HMO/WC	$240.69

STRYKER HOFFMAN STERILE FIELD

Facility

$49,620.00

Service Code	HCPCS C1889
Hospital Charge Code	270700761
Hospital Revenue Code	278
Min. Negotiated Rate	$7,443.00
Max. Negotiated Rate	$12,008.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,924.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,008.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10,916.40
Rate for Payer: Qualcare PPO/HMO/WC	$7,443.00

STRYKER HOFFMAN STERILE FIELD

Facility

$17,440.60

Service Code	HCPCS C1889
Hospital Charge Code	270700760
Hospital Revenue Code	278
Min. Negotiated Rate	$420.32
Max. Negotiated Rate	$8,720.30
Rate for Payer: Aetna Commercial	$6,627.43
Rate for Payer: Aetna Medicare Advantage	$5,232.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,447.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,447.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,447.35
Rate for Payer: Cigna Commercial	$8,720.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,836.93
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.09
Rate for Payer: UnitedHealthcare Community & State	$420.32
Rate for Payer: Wellpoint Medicaid Managed Care	$462.18

STRYKER HOFFMAN STERILE FIELD

Facility

$17,440.60

Service Code	HCPCS C1889
Hospital Charge Code	270700760
Hospital Revenue Code	278
Min. Negotiated Rate	$2,616.09
Max. Negotiated Rate	$4,220.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,488.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,220.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,836.93
Rate for Payer: Qualcare PPO/HMO/WC	$2,616.09

STRYKER HOFFMAN STERILE FIELD

Facility

$49,620.00

Service Code	HCPCS C1889
Hospital Charge Code	270700761
Hospital Revenue Code	278
Min. Negotiated Rate	$1,195.84
Max. Negotiated Rate	$24,810.00
Rate for Payer: Aetna Commercial	$18,855.60
Rate for Payer: Aetna Medicare Advantage	$14,886.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,653.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,653.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,924.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,653.10
Rate for Payer: Cigna Commercial	$24,810.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,008.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10,916.40
Rate for Payer: Qualcare PPO/HMO/WC	$7,443.00
Rate for Payer: UnitedHealthcare Community & State	$1,195.84
Rate for Payer: Wellpoint Medicaid Managed Care	$1,314.93

STRYKER KNEE TRIATHLON CAP

Facility

$21,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270692136
Hospital Revenue Code	278
Min. Negotiated Rate	$3,150.00
Max. Negotiated Rate	$5,082.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,082.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,620.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,150.00

STRYKER KNEE TRIATHLON CAP

Facility

$21,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270692136
Hospital Revenue Code	278
Min. Negotiated Rate	$506.10
Max. Negotiated Rate	$10,500.00
Rate for Payer: Aetna Commercial	$7,980.00
Rate for Payer: Aetna Medicare Advantage	$6,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,355.00
Rate for Payer: Cigna Commercial	$10,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,082.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,620.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,150.00
Rate for Payer: UnitedHealthcare Community & State	$506.10
Rate for Payer: Wellpoint Medicaid Managed Care	$556.50

STRYKER SUCTION IRRIG TUBE****

Facility

$164.00

Hospital Charge Code	1606615
Hospital Revenue Code	272
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$24.60

STRYKER SUCTION IRRIG TUBE****

Facility

$164.00

Hospital Charge Code	1606615
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$82.00
Rate for Payer: Aetna Commercial	$62.32
Rate for Payer: Aetna Medicare Advantage	$49.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.82
Rate for Payer: Cigna Commercial	$82.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.20
Rate for Payer: Oxford Commercial	$32.80
Rate for Payer: Qualcare PPO/HMO/WC	$24.60
Rate for Payer: UnitedHealthcare Commercial	$32.80
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$4.35

STRYKER-WATER SNAKE

Facility

$28.00

Hospital Charge Code	270339442
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

STRYKER-WATER SNAKE

Facility

$28.00

Hospital Charge Code	270339442
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

ST SMAR BIL 6x80 120cmC06080MB

Facility

$9,875.00

Hospital Charge Code	270637320V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,481.25
Max. Negotiated Rate	$2,389.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,389.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,172.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,481.25

Know your out-of-pocket cost for care.

All Charges