Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TAPE REESE DERMASTRIP

Facility

$335.25

Hospital Charge Code	270600397
Hospital Revenue Code	272
Min. Negotiated Rate	$50.29
Max. Negotiated Rate	$50.29
Rate for Payer: Qualcare PPO/HMO/WC	$50.29

TAPE REESE DERMASTRIP

Facility

$335.25

Hospital Charge Code	270600397
Hospital Revenue Code	272
Min. Negotiated Rate	$8.08
Max. Negotiated Rate	$167.62
Rate for Payer: Aetna Commercial	$127.39
Rate for Payer: Aetna Medicare Advantage	$100.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.49
Rate for Payer: Cigna Commercial	$167.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.58
Rate for Payer: Oxford Commercial	$67.05
Rate for Payer: Qualcare PPO/HMO/WC	$50.29
Rate for Payer: UnitedHealthcare Commercial	$67.05
Rate for Payer: UnitedHealthcare Community & State	$8.08
Rate for Payer: Wellpoint Medicaid Managed Care	$8.88

TAPE REESE DERMASTRIP

Facility

$448.00

Hospital Charge Code	270600697
Hospital Revenue Code	272
Min. Negotiated Rate	$67.20
Max. Negotiated Rate	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$67.20

TAPE REESE DERMASTRIP

Facility

$448.00

Hospital Charge Code	270600697
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$224.00
Rate for Payer: Aetna Commercial	$170.24
Rate for Payer: Aetna Medicare Advantage	$134.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.24
Rate for Payer: Cigna Commercial	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.40
Rate for Payer: Oxford Commercial	$89.60
Rate for Payer: Qualcare PPO/HMO/WC	$67.20
Rate for Payer: UnitedHealthcare Commercial	$89.60
Rate for Payer: UnitedHealthcare Community & State	$10.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.87

TAPER INSET M2A MAGNUM 139256

Facility

$1,681.50

Hospital Charge Code	270635323
Hospital Revenue Code	278
Min. Negotiated Rate	$252.22
Max. Negotiated Rate	$406.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$369.93
Rate for Payer: Qualcare PPO/HMO/WC	$252.22

TAPER INSET M2A MAGNUM 139256

Facility

$1,681.50

Hospital Charge Code	270635323
Hospital Revenue Code	278
Min. Negotiated Rate	$40.52
Max. Negotiated Rate	$840.75
Rate for Payer: Aetna Commercial	$638.97
Rate for Payer: Aetna Medicare Advantage	$504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.78
Rate for Payer: Cigna Commercial	$840.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$369.93
Rate for Payer: Qualcare PPO/HMO/WC	$252.22
Rate for Payer: UnitedHealthcare Community & State	$40.52
Rate for Payer: Wellpoint Medicaid Managed Care	$44.56

TAPER INSET MAGNUM 42/50 -3mm

Facility

$1,681.50

Hospital Charge Code	270636872
Hospital Revenue Code	278
Min. Negotiated Rate	$40.52
Max. Negotiated Rate	$840.75
Rate for Payer: Aetna Commercial	$638.97
Rate for Payer: Aetna Medicare Advantage	$504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.78
Rate for Payer: Cigna Commercial	$840.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$369.93
Rate for Payer: Qualcare PPO/HMO/WC	$252.22
Rate for Payer: UnitedHealthcare Community & State	$40.52
Rate for Payer: Wellpoint Medicaid Managed Care	$44.56

TAPER INSET MAGNUM 42/50 -3mm

Facility

$1,681.50

Hospital Charge Code	270636872
Hospital Revenue Code	278
Min. Negotiated Rate	$252.22
Max. Negotiated Rate	$406.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$369.93
Rate for Payer: Qualcare PPO/HMO/WC	$252.22

TAPERLOC COMPLETE PRIMARY FEM

Facility

$10,500.00

Hospital Charge Code	270702559
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

TAPERLOC COMPLETE PRIMARY FEM

Facility

$10,500.00

Hospital Charge Code	270702559
Hospital Revenue Code	278
Min. Negotiated Rate	$253.05
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$253.05
Rate for Payer: Wellpoint Medicaid Managed Care	$278.25

TAPERLOC FEM 7X134MM STD OFFST

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270692886
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

TAPERLOC FEM 7X134MM STD OFFST

Facility

$10,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270692886
Hospital Revenue Code	278
Min. Negotiated Rate	$253.05
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$253.05
Rate for Payer: Wellpoint Medicaid Managed Care	$278.25

TAPERLOC TYPE 1 PPS 9X137MM

Facility

$10,815.00

Service Code	HCPCS C1776
Hospital Charge Code	270700153
Hospital Revenue Code	278
Min. Negotiated Rate	$1,622.25
Max. Negotiated Rate	$2,617.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,617.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,379.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,622.25

TAPERLOC TYPE 1 PPS 9X137MM

Facility

$10,815.00

Service Code	HCPCS C1776
Hospital Charge Code	270700153
Hospital Revenue Code	278
Min. Negotiated Rate	$260.64
Max. Negotiated Rate	$5,407.50
Rate for Payer: Aetna Commercial	$4,109.70
Rate for Payer: Aetna Medicare Advantage	$3,244.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,757.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,757.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,757.82
Rate for Payer: Cigna Commercial	$5,407.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,617.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,379.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,622.25
Rate for Payer: UnitedHealthcare Community & State	$260.64
Rate for Payer: Wellpoint Medicaid Managed Care	$286.60

TAPERLOC TYPE PPS 11 MM

Facility

$12,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270678812
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

TAPERLOC TYPE PPS 11 MM

Facility

$12,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270678812
Hospital Revenue Code	278
Min. Negotiated Rate	$295.23
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$4,655.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Community & State	$295.23
Rate for Payer: Wellpoint Medicaid Managed Care	$324.62

TAPER METAL VERSYS

Facility

$15,950.00

Hospital Charge Code	270658815
Hospital Revenue Code	278
Min. Negotiated Rate	$2,392.50
Max. Negotiated Rate	$3,859.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.50

TAPER METAL VERSYS

Facility

$15,950.00

Hospital Charge Code	270658815
Hospital Revenue Code	278
Min. Negotiated Rate	$384.39
Max. Negotiated Rate	$7,975.00
Rate for Payer: Aetna Commercial	$6,061.00
Rate for Payer: Aetna Medicare Advantage	$4,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,067.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,067.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,067.25
Rate for Payer: Cigna Commercial	$7,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,859.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.50
Rate for Payer: UnitedHealthcare Community & State	$384.39
Rate for Payer: Wellpoint Medicaid Managed Care	$422.68

TAPER M/L 5 STD

Facility

$15,360.00

Hospital Charge Code	270666887
Hospital Revenue Code	278
Min. Negotiated Rate	$370.18
Max. Negotiated Rate	$7,680.00
Rate for Payer: Aetna Commercial	$5,836.80
Rate for Payer: Aetna Medicare Advantage	$4,608.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,916.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,916.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,072.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,916.80
Rate for Payer: Cigna Commercial	$7,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,717.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,379.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,304.00
Rate for Payer: UnitedHealthcare Community & State	$370.18
Rate for Payer: Wellpoint Medicaid Managed Care	$407.04

TAPER M/L 5 STD

Facility

$15,360.00

Hospital Charge Code	270666887
Hospital Revenue Code	278
Min. Negotiated Rate	$2,304.00
Max. Negotiated Rate	$3,717.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,072.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,717.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,379.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,304.00

TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270657126
Hospital Revenue Code	278
Min. Negotiated Rate	$67.02
Max. Negotiated Rate	$1,390.42
Rate for Payer: Aetna Commercial	$1,056.72
Rate for Payer: Aetna Medicare Advantage	$834.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$709.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$556.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$709.12
Rate for Payer: Cigna Commercial	$1,390.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$611.79
Rate for Payer: Qualcare PPO/HMO/WC	$417.13
Rate for Payer: UnitedHealthcare Community & State	$67.02
Rate for Payer: Wellpoint Medicaid Managed Care	$73.69

TAPER PLUG

Facility

$2,780.85

Hospital Charge Code	270657126
Hospital Revenue Code	278
Min. Negotiated Rate	$417.13
Max. Negotiated Rate	$672.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$556.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$611.79
Rate for Payer: Qualcare PPO/HMO/WC	$417.13

TAPER POST12X32MM,SHOULDER,OVO

Facility

$4,710.00

Service Code	HCPCS C1776
Hospital Charge Code	270687342
Hospital Revenue Code	278
Min. Negotiated Rate	$113.51
Max. Negotiated Rate	$2,355.00
Rate for Payer: Aetna Commercial	$1,789.80
Rate for Payer: Aetna Medicare Advantage	$1,413.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,201.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,201.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$942.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,201.05
Rate for Payer: Cigna Commercial	$2,355.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,139.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,036.20
Rate for Payer: Qualcare PPO/HMO/WC	$706.50
Rate for Payer: UnitedHealthcare Community & State	$113.51
Rate for Payer: Wellpoint Medicaid Managed Care	$124.81

TAPER POST12X32MM,SHOULDER,OVO

Facility

$4,710.00

Service Code	HCPCS C1776
Hospital Charge Code	270687342
Hospital Revenue Code	278
Min. Negotiated Rate	$706.50
Max. Negotiated Rate	$1,139.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$942.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,139.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,036.20
Rate for Payer: Qualcare PPO/HMO/WC	$706.50

TAPER ROUTER 2.3X 19MM

Facility

$395.00

Hospital Charge Code	270691574
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

Know your out-of-pocket cost for care.

All Charges