Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TAPE UMBILICAL COTTON 2x30x1/8

Facility

$4.15

Hospital Charge Code	270656087
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.62

TAPE UMBILICAL COTTON 2x30x1/8

Facility

$4.15

Hospital Charge Code	270656087
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.08
Rate for Payer: Aetna Commercial	$1.58
Rate for Payer: Aetna Medicare Advantage	$1.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.06
Rate for Payer: Cigna Commercial	$2.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$0.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.62
Rate for Payer: UnitedHealthcare Commercial	$0.83
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

TAPE VIPER TRACK RADIOPAQUE

Facility

$180.00

Hospital Charge Code	2709003743
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

TAPE VIPER TRACK RADIOPAQUE

Facility

$36.00

Hospital Charge Code	270642017
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017C
Hospital Revenue Code	270
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

TAPE VIPER TRACK RADIOPAQUE

Facility

$36.00

Hospital Charge Code	270642017
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$13.68
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.80
Rate for Payer: Oxford Commercial	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$7.20
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017C
Hospital Revenue Code	270
Min. Negotiated Rate	$3.98
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.50
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$33.00
Rate for Payer: UnitedHealthcare Community & State	$3.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017S
Hospital Revenue Code	270
Min. Negotiated Rate	$3.98
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.50
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$33.00
Rate for Payer: UnitedHealthcare Community & State	$3.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

TAPE VIPER TRACK RADIOPAQUE

Facility

$165.00

Hospital Charge Code	270642017S
Hospital Revenue Code	270
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

TAPE VIPER TRACK RADIOPAQUE

Facility

$180.00

Hospital Charge Code	2709003743
Hospital Revenue Code	272
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.00
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

TAPE ZONAS ADHESIVE 1

Facility

$5.34

Hospital Charge Code	270649118
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.80

TAPE ZONAS ADHESIVE 1

Facility

$5.34

Hospital Charge Code	270649118
Hospital Revenue Code	272
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.67
Rate for Payer: Aetna Commercial	$2.03
Rate for Payer: Aetna Medicare Advantage	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.36
Rate for Payer: Cigna Commercial	$2.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.60
Rate for Payer: Oxford Commercial	$1.07
Rate for Payer: Qualcare PPO/HMO/WC	$0.80
Rate for Payer: UnitedHealthcare Commercial	$1.07
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

TAP F/2MM CORTEX SCREW 54MM

Facility

$417.15

Service Code	HCPCS C1713
Hospital Charge Code	270604457
Hospital Revenue Code	278
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$208.57
Rate for Payer: Aetna Commercial	$158.52
Rate for Payer: Aetna Medicare Advantage	$125.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$106.37
Rate for Payer: Cigna Commercial	$208.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$91.77
Rate for Payer: Qualcare PPO/HMO/WC	$62.57
Rate for Payer: UnitedHealthcare Community & State	$10.05
Rate for Payer: Wellpoint Medicaid Managed Care	$11.05

TAP F/2MM CORTEX SCREW 54MM

Facility

$417.15

Service Code	HCPCS C1713
Hospital Charge Code	270604457
Hospital Revenue Code	278
Min. Negotiated Rate	$62.57
Max. Negotiated Rate	$100.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$83.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$91.77
Rate for Payer: Qualcare PPO/HMO/WC	$62.57

TAP F/4.5mm CANNULATED SCREW

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270604932
Hospital Revenue Code	278
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$227.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.80
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

TAP F/4.5mm CANNULATED SCREW

Facility

$940.00

Service Code	HCPCS C1713
Hospital Charge Code	270604932
Hospital Revenue Code	278
Min. Negotiated Rate	$22.65
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$357.20
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.80
Rate for Payer: Qualcare PPO/HMO/WC	$141.00
Rate for Payer: UnitedHealthcare Community & State	$22.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.91

TAP F/CORTEX SCREW 2.7MM

Facility

$491.30

Service Code	HCPCS C1713
Hospital Charge Code	270604139
Hospital Revenue Code	278
Min. Negotiated Rate	$11.84
Max. Negotiated Rate	$245.65
Rate for Payer: Aetna Commercial	$186.69
Rate for Payer: Aetna Medicare Advantage	$147.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.28
Rate for Payer: Cigna Commercial	$245.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.09
Rate for Payer: Qualcare PPO/HMO/WC	$73.69
Rate for Payer: UnitedHealthcare Community & State	$11.84
Rate for Payer: Wellpoint Medicaid Managed Care	$13.02

TAP F/CORTEX SCREW 2.7MM

Facility

$491.30

Service Code	HCPCS C1713
Hospital Charge Code	270604139
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$118.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.09
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

TAP FOR 6.5MM CANC BONE SCREW

Facility

$1,059.00

Hospital Charge Code	270671821
Hospital Revenue Code	272
Min. Negotiated Rate	$158.85
Max. Negotiated Rate	$158.85
Rate for Payer: Qualcare PPO/HMO/WC	$158.85

TAP FOR 6.5MM CANC BONE SCREW

Facility

$1,059.00

Hospital Charge Code	270671821
Hospital Revenue Code	272
Min. Negotiated Rate	$25.52
Max. Negotiated Rate	$529.50
Rate for Payer: Aetna Commercial	$402.42
Rate for Payer: Aetna Medicare Advantage	$317.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.05
Rate for Payer: Cigna Commercial	$529.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$317.70
Rate for Payer: Oxford Commercial	$211.80
Rate for Payer: Qualcare PPO/HMO/WC	$158.85
Rate for Payer: UnitedHealthcare Commercial	$211.80
Rate for Payer: UnitedHealthcare Community & State	$25.52
Rate for Payer: Wellpoint Medicaid Managed Care	$28.06

TAP FOR SCREW

Facility

$3,455.40

Service Code	HCPCS C1713
Hospital Charge Code	270688472
Hospital Revenue Code	278
Min. Negotiated Rate	$518.31
Max. Negotiated Rate	$836.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$760.19
Rate for Payer: Qualcare PPO/HMO/WC	$518.31

TAP FOR SCREW

Facility

$3,455.40

Service Code	HCPCS C1713
Hospital Charge Code	270688472
Hospital Revenue Code	278
Min. Negotiated Rate	$83.28
Max. Negotiated Rate	$1,727.70
Rate for Payer: Aetna Commercial	$1,313.05
Rate for Payer: Aetna Medicare Advantage	$1,036.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$881.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$881.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$881.13
Rate for Payer: Cigna Commercial	$1,727.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$760.19
Rate for Payer: Qualcare PPO/HMO/WC	$518.31
Rate for Payer: UnitedHealthcare Community & State	$83.28
Rate for Payer: Wellpoint Medicaid Managed Care	$91.57

TAP INTERNAL 6.5mm

Facility

$1,500.00

Hospital Charge Code	270637466
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

TAP INTERNAL 6.5mm

Facility

$1,500.00

Hospital Charge Code	270637466
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

TAP MOUNTAINEER 3.0MM

Facility

$1,912.50

Hospital Charge Code	270663782
Hospital Revenue Code	272
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$956.25
Rate for Payer: Aetna Commercial	$726.75
Rate for Payer: Aetna Medicare Advantage	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$487.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$487.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$487.69
Rate for Payer: Cigna Commercial	$956.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$573.75
Rate for Payer: Oxford Commercial	$382.50
Rate for Payer: Qualcare PPO/HMO/WC	$286.88
Rate for Payer: UnitedHealthcare Commercial	$382.50
Rate for Payer: UnitedHealthcare Community & State	$46.09
Rate for Payer: Wellpoint Medicaid Managed Care	$50.68

Know your out-of-pocket cost for care.

All Charges