Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BINDER ABDOMINAL 46-62

Facility

$24.00

Hospital Charge Code	270650243
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

BINDER ABDOMINAL 4 PANEL12UNIV

Facility

$69.95

Hospital Charge Code	270650469
Hospital Revenue Code	272
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

BINDER ABDOMINAL 4 PANEL12UNIV

Facility

$69.95

Hospital Charge Code	270650469
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$34.98
Rate for Payer: Aetna Commercial	$26.58
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.98
Rate for Payer: Oxford Commercial	$13.99
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$13.99
Rate for Payer: UnitedHealthcare Community & State	$1.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

BINDER ABDOMINAL 4 PANEL 46-62

Facility

$57.45

Hospital Charge Code	270650461
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BINDER ABDOMINAL 4 PANEL 46-62

Facility

$57.45

Hospital Charge Code	270650461
Hospital Revenue Code	272
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$28.73
Rate for Payer: Aetna Commercial	$21.83
Rate for Payer: Aetna Medicare Advantage	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.65
Rate for Payer: Cigna Commercial	$28.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.23
Rate for Payer: Oxford Commercial	$11.49
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.49
Rate for Payer: UnitedHealthcare Community & State	$1.38
Rate for Payer: Wellpoint Medicaid Managed Care	$1.52

BIOARCH IMPLANT 10MM

Facility

$9,860.00

Hospital Charge Code	270656812
Hospital Revenue Code	278
Min. Negotiated Rate	$237.63
Max. Negotiated Rate	$4,930.00
Rate for Payer: Aetna Commercial	$3,746.80
Rate for Payer: Aetna Medicare Advantage	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,514.30
Rate for Payer: Cigna Commercial	$4,930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,169.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00
Rate for Payer: UnitedHealthcare Community & State	$237.63
Rate for Payer: Wellpoint Medicaid Managed Care	$261.29

BIOARCH IMPLANT 10MM

Facility

$9,860.00

Hospital Charge Code	270656812
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.00
Max. Negotiated Rate	$2,386.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,169.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00

BIOARCH IMPLANT 9MM

Facility

$9,860.00

Hospital Charge Code	270656810
Hospital Revenue Code	278
Min. Negotiated Rate	$1,479.00
Max. Negotiated Rate	$2,386.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,169.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00

BIOARCH IMPLANT 9MM

Facility

$9,860.00

Hospital Charge Code	270656810
Hospital Revenue Code	278
Min. Negotiated Rate	$237.63
Max. Negotiated Rate	$4,930.00
Rate for Payer: Aetna Commercial	$3,746.80
Rate for Payer: Aetna Medicare Advantage	$2,958.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,514.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,972.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,514.30
Rate for Payer: Cigna Commercial	$4,930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,386.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,169.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.00
Rate for Payer: UnitedHealthcare Community & State	$237.63
Rate for Payer: Wellpoint Medicaid Managed Care	$261.29

BIO-BAG TYPE C****

Facility

$4.32

Hospital Charge Code	270600749
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.16
Rate for Payer: Aetna Commercial	$1.64
Rate for Payer: Aetna Medicare Advantage	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.10
Rate for Payer: Cigna Commercial	$2.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Oxford Commercial	$0.86
Rate for Payer: Qualcare PPO/HMO/WC	$0.65
Rate for Payer: UnitedHealthcare Commercial	$0.86
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

BIO-BAG TYPE C****

Facility

$4.32

Hospital Charge Code	270600749
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.65

BIOCARTILAGE DELIVERY KIT

Facility

$1,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270687155
Hospital Revenue Code	278
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$245.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$269.50
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Community & State	$29.52
Rate for Payer: Wellpoint Medicaid Managed Care	$32.46

BIOCARTILAGE DELIVERY KIT

Facility

$1,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270687155
Hospital Revenue Code	278
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$296.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$269.50
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

BIOCARTILAGE KIT SMALL JT

Facility

$1,225.00

Service Code	HCPCS A4649
Hospital Charge Code	270686399
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

BIOCARTILAGE KIT SMALL JT

Facility

$1,225.00

Service Code	HCPCS A4649
Hospital Charge Code	270686399
Hospital Revenue Code	272
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$29.52
Rate for Payer: Wellpoint Medicaid Managed Care	$32.46

BIO-CARTRIDGE 1CC

Facility

$4,900.00

Hospital Charge Code	270659671
Hospital Revenue Code	272
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$735.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

BIO-CARTRIDGE 1CC

Facility

$4,900.00

Hospital Charge Code	270659671
Hospital Revenue Code	272
Min. Negotiated Rate	$118.09
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,862.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,470.00
Rate for Payer: Oxford Commercial	$980.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Commercial	$980.00
Rate for Payer: UnitedHealthcare Community & State	$118.09
Rate for Payer: Wellpoint Medicaid Managed Care	$129.85

BIOCERAMIC NANOCRYSTALS 5CC

Facility

$11,250.00

Service Code	HCPCS C1763
Hospital Charge Code	270698051
Hospital Revenue Code	278
Min. Negotiated Rate	$271.12
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$4,275.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50
Rate for Payer: UnitedHealthcare Community & State	$271.12
Rate for Payer: Wellpoint Medicaid Managed Care	$298.12

BIOCERAMIC NANOCRYSTALS 5CC

Facility

$11,250.00

Service Code	HCPCS C1763
Hospital Charge Code	270698051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

BIOCLEANSE PATELLAR TENDON PRE

Facility

$1,445.00

Hospital Charge Code	270679092
Hospital Revenue Code	278
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$349.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$317.90
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

BIOCLEANSE PATELLAR TENDON PRE

Facility

$1,445.00

Hospital Charge Code	270679092
Hospital Revenue Code	278
Min. Negotiated Rate	$34.82
Max. Negotiated Rate	$722.50
Rate for Payer: Aetna Commercial	$549.10
Rate for Payer: Aetna Medicare Advantage	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$289.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.48
Rate for Payer: Cigna Commercial	$722.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$349.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$317.90
Rate for Payer: Qualcare PPO/HMO/WC	$216.75
Rate for Payer: UnitedHealthcare Community & State	$34.82
Rate for Payer: Wellpoint Medicaid Managed Care	$38.29

BIOCOMPOSITE TENODESIS CREW

Facility

$2,250.00

Hospital Charge Code	270657714
Hospital Revenue Code	278
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Community & State	$54.23
Rate for Payer: Wellpoint Medicaid Managed Care	$59.62

BIOCOMPOSITE TENODESIS CREW

Facility

$2,250.00

Hospital Charge Code	270657714
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

BIO CORK SCREW

Facility

$411.00

Hospital Charge Code	270335682
Hospital Revenue Code	278
Min. Negotiated Rate	$9.91
Max. Negotiated Rate	$205.50
Rate for Payer: Aetna Commercial	$156.18
Rate for Payer: Aetna Medicare Advantage	$123.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.81
Rate for Payer: Cigna Commercial	$205.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$90.42
Rate for Payer: Qualcare PPO/HMO/WC	$61.65
Rate for Payer: UnitedHealthcare Community & State	$9.91
Rate for Payer: Wellpoint Medicaid Managed Care	$10.89

BIO CORK SCREW

Facility

$411.00

Hospital Charge Code	270335682
Hospital Revenue Code	278
Min. Negotiated Rate	$61.65
Max. Negotiated Rate	$99.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$82.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$90.42
Rate for Payer: Qualcare PPO/HMO/WC	$61.65

Know your out-of-pocket cost for care.

All Charges