Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TAP MOUNTAINEER 3.0MM

Facility

$1,912.50

Hospital Charge Code	270663782
Hospital Revenue Code	272
Min. Negotiated Rate	$286.88
Max. Negotiated Rate	$286.88
Rate for Payer: Qualcare PPO/HMO/WC	$286.88

TAP OVERWATCH EXTEND 5.5X40MM

Facility

$5,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694121
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

TAP OVERWATCH EXTEND 5.5X40MM

Facility

$5,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270694121
Hospital Revenue Code	278
Min. Negotiated Rate	$126.53
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$126.53
Rate for Payer: Wellpoint Medicaid Managed Care	$139.12

TAPR M/L 9 STD RECD NECK LNGTH

Facility

$15,359.40

Hospital Charge Code	270668332
Hospital Revenue Code	278
Min. Negotiated Rate	$370.16
Max. Negotiated Rate	$7,679.70
Rate for Payer: Aetna Commercial	$5,836.57
Rate for Payer: Aetna Medicare Advantage	$4,607.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,916.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,071.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,916.65
Rate for Payer: Cigna Commercial	$7,679.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,716.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,379.07
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91
Rate for Payer: UnitedHealthcare Community & State	$370.16
Rate for Payer: Wellpoint Medicaid Managed Care	$407.02

TAPR M/L 9 STD RECD NECK LNGTH

Facility

$15,359.40

Hospital Charge Code	270668332
Hospital Revenue Code	278
Min. Negotiated Rate	$2,303.91
Max. Negotiated Rate	$3,716.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,071.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,716.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,379.07
Rate for Payer: Qualcare PPO/HMO/WC	$2,303.91

TAPS

Facility

$3,075.00

Hospital Charge Code	270703021
Hospital Revenue Code	278
Min. Negotiated Rate	$74.11
Max. Negotiated Rate	$1,537.50
Rate for Payer: Aetna Commercial	$1,168.50
Rate for Payer: Aetna Medicare Advantage	$922.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$784.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$784.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$784.12
Rate for Payer: Cigna Commercial	$1,537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$676.50
Rate for Payer: Qualcare PPO/HMO/WC	$461.25
Rate for Payer: UnitedHealthcare Community & State	$74.11
Rate for Payer: Wellpoint Medicaid Managed Care	$81.49

TAPS

Facility

$3,075.00

Hospital Charge Code	270703021
Hospital Revenue Code	278
Min. Negotiated Rate	$461.25
Max. Negotiated Rate	$744.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$676.50
Rate for Payer: Qualcare PPO/HMO/WC	$461.25

TAP SURGICAL 5.5MM GPS

Facility

$6,190.00

Hospital Charge Code	270696765
Hospital Revenue Code	272
Min. Negotiated Rate	$149.18
Max. Negotiated Rate	$3,095.00
Rate for Payer: Aetna Commercial	$2,352.20
Rate for Payer: Aetna Medicare Advantage	$1,857.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,578.45
Rate for Payer: Cigna Commercial	$3,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,857.00
Rate for Payer: Oxford Commercial	$1,238.00
Rate for Payer: Qualcare PPO/HMO/WC	$928.50
Rate for Payer: UnitedHealthcare Commercial	$1,238.00
Rate for Payer: UnitedHealthcare Community & State	$149.18
Rate for Payer: Wellpoint Medicaid Managed Care	$164.03

TAP SURGICAL 5.5MM GPS

Facility

$6,190.00

Hospital Charge Code	270696765
Hospital Revenue Code	272
Min. Negotiated Rate	$928.50
Max. Negotiated Rate	$928.50
Rate for Payer: Qualcare PPO/HMO/WC	$928.50

TAP SYN 4.0 325.12

Facility

$1,503.25

Hospital Charge Code	270609420
Hospital Revenue Code	278
Min. Negotiated Rate	$225.49
Max. Negotiated Rate	$363.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.71
Rate for Payer: Qualcare PPO/HMO/WC	$225.49

TAP SYN 4.0 325.12

Facility

$1,503.25

Hospital Charge Code	270609420
Hospital Revenue Code	278
Min. Negotiated Rate	$36.23
Max. Negotiated Rate	$751.62
Rate for Payer: Aetna Commercial	$571.24
Rate for Payer: Aetna Medicare Advantage	$450.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.33
Rate for Payer: Cigna Commercial	$751.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.71
Rate for Payer: Qualcare PPO/HMO/WC	$225.49
Rate for Payer: UnitedHealthcare Community & State	$36.23
Rate for Payer: Wellpoint Medicaid Managed Care	$39.84

TAP SYN CANN SCREW 7.0 311.69

Facility

$2,289.65

Hospital Charge Code	270605009
Hospital Revenue Code	278
Min. Negotiated Rate	$343.45
Max. Negotiated Rate	$554.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$457.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$503.72
Rate for Payer: Qualcare PPO/HMO/WC	$343.45

TAP SYN CANN SCREW 7.0 311.69

Facility

$2,289.65

Hospital Charge Code	270605009
Hospital Revenue Code	278
Min. Negotiated Rate	$55.18
Max. Negotiated Rate	$1,144.83
Rate for Payer: Aetna Commercial	$870.07
Rate for Payer: Aetna Medicare Advantage	$686.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$457.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.86
Rate for Payer: Cigna Commercial	$1,144.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$503.72
Rate for Payer: Qualcare PPO/HMO/WC	$343.45
Rate for Payer: UnitedHealthcare Community & State	$55.18
Rate for Payer: Wellpoint Medicaid Managed Care	$60.68

TAP SYN CANN SCREW 7.3 311.68

Facility

$2,309.65

Hospital Charge Code	270605097
Hospital Revenue Code	278
Min. Negotiated Rate	$55.66
Max. Negotiated Rate	$1,154.83
Rate for Payer: Aetna Commercial	$877.67
Rate for Payer: Aetna Medicare Advantage	$692.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$588.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$588.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$588.96
Rate for Payer: Cigna Commercial	$1,154.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$508.12
Rate for Payer: Qualcare PPO/HMO/WC	$346.45
Rate for Payer: UnitedHealthcare Community & State	$55.66
Rate for Payer: Wellpoint Medicaid Managed Care	$61.21

TAP SYN CANN SCREW 7.3 311.68

Facility

$2,309.65

Hospital Charge Code	270605097
Hospital Revenue Code	278
Min. Negotiated Rate	$346.45
Max. Negotiated Rate	$558.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$508.12
Rate for Payer: Qualcare PPO/HMO/WC	$346.45

TAP SYN CORT 3.5 ***

Facility

$192.00

Hospital Charge Code	270601821
Hospital Revenue Code	272
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

TAP SYN CORT 3.5 ***

Facility

$192.00

Hospital Charge Code	270601821
Hospital Revenue Code	272
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$96.00
Rate for Payer: Aetna Commercial	$72.96
Rate for Payer: Aetna Medicare Advantage	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.96
Rate for Payer: Cigna Commercial	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.60
Rate for Payer: Oxford Commercial	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$28.80
Rate for Payer: UnitedHealthcare Commercial	$38.40
Rate for Payer: UnitedHealthcare Community & State	$4.63
Rate for Payer: Wellpoint Medicaid Managed Care	$5.09

TAP SYN CORT 3.5 311.33

Facility

$682.45

Hospital Charge Code	270604142
Hospital Revenue Code	278
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$341.23
Rate for Payer: Aetna Commercial	$259.33
Rate for Payer: Aetna Medicare Advantage	$204.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.02
Rate for Payer: Cigna Commercial	$341.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$150.14
Rate for Payer: Qualcare PPO/HMO/WC	$102.37
Rate for Payer: UnitedHealthcare Community & State	$16.45
Rate for Payer: Wellpoint Medicaid Managed Care	$18.08

TAP SYN CORT 3.5 311.33

Facility

$682.45

Hospital Charge Code	270604142
Hospital Revenue Code	278
Min. Negotiated Rate	$102.37
Max. Negotiated Rate	$165.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$150.14
Rate for Payer: Qualcare PPO/HMO/WC	$102.37

TAP SYN CORT 4.5 130 311.46

Facility

$446.45

Hospital Charge Code	270619720
Hospital Revenue Code	278
Min. Negotiated Rate	$66.97
Max. Negotiated Rate	$108.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.22
Rate for Payer: Qualcare PPO/HMO/WC	$66.97

TAP SYN CORT 4.5 130 311.46

Facility

$446.45

Hospital Charge Code	270619720
Hospital Revenue Code	278
Min. Negotiated Rate	$10.76
Max. Negotiated Rate	$223.22
Rate for Payer: Aetna Commercial	$169.65
Rate for Payer: Aetna Medicare Advantage	$133.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.84
Rate for Payer: Cigna Commercial	$223.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.22
Rate for Payer: Qualcare PPO/HMO/WC	$66.97
Rate for Payer: UnitedHealthcare Community & State	$10.76
Rate for Payer: Wellpoint Medicaid Managed Care	$11.83

TAP WLZ ADJ BONE 1.5 915-2080

Facility

$944.85

Hospital Charge Code	270621794
Hospital Revenue Code	278
Min. Negotiated Rate	$141.73
Max. Negotiated Rate	$228.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.87
Rate for Payer: Qualcare PPO/HMO/WC	$141.73

TAP WLZ ADJ BONE 1.5 915-2080

Facility

$944.85

Hospital Charge Code	270621794
Hospital Revenue Code	278
Min. Negotiated Rate	$22.77
Max. Negotiated Rate	$472.43
Rate for Payer: Aetna Commercial	$359.04
Rate for Payer: Aetna Medicare Advantage	$283.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.94
Rate for Payer: Cigna Commercial	$472.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.87
Rate for Payer: Qualcare PPO/HMO/WC	$141.73
Rate for Payer: UnitedHealthcare Community & State	$22.77
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

TAP ZIM QC 3.5MM 234637

Facility

$506.45

Hospital Charge Code	270607933
Hospital Revenue Code	278
Min. Negotiated Rate	$75.97
Max. Negotiated Rate	$122.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.42
Rate for Payer: Qualcare PPO/HMO/WC	$75.97

TAP ZIM QC 3.5MM 234637

Facility

$506.45

Hospital Charge Code	270607933
Hospital Revenue Code	278
Min. Negotiated Rate	$12.21
Max. Negotiated Rate	$253.22
Rate for Payer: Aetna Commercial	$192.45
Rate for Payer: Aetna Medicare Advantage	$151.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.14
Rate for Payer: Cigna Commercial	$253.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.42
Rate for Payer: Qualcare PPO/HMO/WC	$75.97
Rate for Payer: UnitedHealthcare Community & State	$12.21
Rate for Payer: Wellpoint Medicaid Managed Care	$13.42

Know your out-of-pocket cost for care.

All Charges