Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIO-CORKSCREW 3.7 X 18MM

Facility

$1,860.00

Hospital Charge Code	270666936
Hospital Revenue Code	278
Min. Negotiated Rate	$44.83
Max. Negotiated Rate	$930.00
Rate for Payer: Aetna Commercial	$706.80
Rate for Payer: Aetna Medicare Advantage	$558.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$474.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$474.30
Rate for Payer: Cigna Commercial	$930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$409.20
Rate for Payer: Qualcare PPO/HMO/WC	$279.00
Rate for Payer: UnitedHealthcare Community & State	$44.83
Rate for Payer: Wellpoint Medicaid Managed Care	$49.29

BIO-CORKSCREW 3.7 X 18MM

Facility

$1,860.00

Hospital Charge Code	270666936
Hospital Revenue Code	278
Min. Negotiated Rate	$279.00
Max. Negotiated Rate	$450.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$409.20
Rate for Payer: Qualcare PPO/HMO/WC	$279.00

BIOCORK SCREW W/NEEDLE

Facility

$842.00

Hospital Charge Code	27038052
Hospital Revenue Code	278
Min. Negotiated Rate	$20.29
Max. Negotiated Rate	$421.00
Rate for Payer: Aetna Commercial	$319.96
Rate for Payer: Aetna Medicare Advantage	$252.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.71
Rate for Payer: Cigna Commercial	$421.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.24
Rate for Payer: Qualcare PPO/HMO/WC	$126.30
Rate for Payer: UnitedHealthcare Community & State	$20.29
Rate for Payer: Wellpoint Medicaid Managed Care	$22.31

BIOCORK SCREW W/NEEDLE

Facility

$842.00

Hospital Charge Code	27038052
Hospital Revenue Code	278
Min. Negotiated Rate	$126.30
Max. Negotiated Rate	$203.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.24
Rate for Payer: Qualcare PPO/HMO/WC	$126.30

BIOCRYL INTERFERENCE SCREW SET

Facility

$500.00

Hospital Charge Code	270645771
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

BIOCRYL INTERFERENCE SCREW SET

Facility

$500.00

Hospital Charge Code	270645771
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

BIOCUFF IMPLANT 5.7x18 235718

Facility

$1,116.00

Hospital Charge Code	270620671
Hospital Revenue Code	278
Min. Negotiated Rate	$26.90
Max. Negotiated Rate	$558.00
Rate for Payer: Aetna Commercial	$424.08
Rate for Payer: Aetna Medicare Advantage	$334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.58
Rate for Payer: Cigna Commercial	$558.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$245.52
Rate for Payer: Qualcare PPO/HMO/WC	$167.40
Rate for Payer: UnitedHealthcare Community & State	$26.90
Rate for Payer: Wellpoint Medicaid Managed Care	$29.57

BIOCUFF IMPLANT 5.7x18 235718

Facility

$1,116.00

Hospital Charge Code	270620671
Hospital Revenue Code	278
Min. Negotiated Rate	$167.40
Max. Negotiated Rate	$270.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$245.52
Rate for Payer: Qualcare PPO/HMO/WC	$167.40

BIOCUFF IMPLANT 5.7X28 235728

Facility

$1,116.00

Hospital Charge Code	270620672
Hospital Revenue Code	278
Min. Negotiated Rate	$26.90
Max. Negotiated Rate	$558.00
Rate for Payer: Aetna Commercial	$424.08
Rate for Payer: Aetna Medicare Advantage	$334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.58
Rate for Payer: Cigna Commercial	$558.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$245.52
Rate for Payer: Qualcare PPO/HMO/WC	$167.40
Rate for Payer: UnitedHealthcare Community & State	$26.90
Rate for Payer: Wellpoint Medicaid Managed Care	$29.57

BIOCUFF IMPLANT 5.7X28 235728

Facility

$1,116.00

Hospital Charge Code	270620672
Hospital Revenue Code	278
Min. Negotiated Rate	$167.40
Max. Negotiated Rate	$270.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$245.52
Rate for Payer: Qualcare PPO/HMO/WC	$167.40

BIOCUFF IMPLANT 5.7X36 235736

Facility

$1,116.00

Hospital Charge Code	270620673
Hospital Revenue Code	278
Min. Negotiated Rate	$167.40
Max. Negotiated Rate	$270.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$245.52
Rate for Payer: Qualcare PPO/HMO/WC	$167.40

BIOCUFF IMPLANT 5.7X36 235736

Facility

$1,116.00

Hospital Charge Code	270620673
Hospital Revenue Code	278
Min. Negotiated Rate	$26.90
Max. Negotiated Rate	$558.00
Rate for Payer: Aetna Commercial	$424.08
Rate for Payer: Aetna Medicare Advantage	$334.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$284.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$284.58
Rate for Payer: Cigna Commercial	$558.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$245.52
Rate for Payer: Qualcare PPO/HMO/WC	$167.40
Rate for Payer: UnitedHealthcare Community & State	$26.90
Rate for Payer: Wellpoint Medicaid Managed Care	$29.57

BIO DBM PLUS PUTTY 10CC

Facility

$16,635.00

Service Code	HCPCS C1713
Hospital Charge Code	270694787
Hospital Revenue Code	278
Min. Negotiated Rate	$400.90
Max. Negotiated Rate	$8,317.50
Rate for Payer: Aetna Commercial	$6,321.30
Rate for Payer: Aetna Medicare Advantage	$4,990.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,327.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,241.93
Rate for Payer: Cigna Commercial	$8,317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,025.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,659.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,495.25
Rate for Payer: UnitedHealthcare Community & State	$400.90
Rate for Payer: Wellpoint Medicaid Managed Care	$440.83

BIO DBM PLUS PUTTY 10CC

Facility

$16,635.00

Service Code	HCPCS C1713
Hospital Charge Code	270694787
Hospital Revenue Code	278
Min. Negotiated Rate	$2,495.25
Max. Negotiated Rate	$4,025.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,327.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,025.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,659.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,495.25

BIODELTCERAM CTAPR FEM HD 36MM

Facility

$4,799.25

Service Code	HCPCS C1776
Hospital Charge Code	270691181
Hospital Revenue Code	278
Min. Negotiated Rate	$115.66
Max. Negotiated Rate	$2,399.62
Rate for Payer: Aetna Commercial	$1,823.71
Rate for Payer: Aetna Medicare Advantage	$1,439.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,223.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$959.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,223.81
Rate for Payer: Cigna Commercial	$2,399.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,055.84
Rate for Payer: Qualcare PPO/HMO/WC	$719.89
Rate for Payer: UnitedHealthcare Community & State	$115.66
Rate for Payer: Wellpoint Medicaid Managed Care	$127.18

BIODELTCERAM CTAPR FEM HD 36MM

Facility

$4,799.25

Service Code	HCPCS C1776
Hospital Charge Code	270691181
Hospital Revenue Code	278
Min. Negotiated Rate	$719.89
Max. Negotiated Rate	$1,161.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$959.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,161.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,055.84
Rate for Payer: Qualcare PPO/HMO/WC	$719.89

BIODELTCERAMSZCTAP FEM HD 36MM

Facility

$2,979.25

Service Code	HCPCS C1776
Hospital Charge Code	270691175
Hospital Revenue Code	278
Min. Negotiated Rate	$71.80
Max. Negotiated Rate	$1,489.62
Rate for Payer: Aetna Commercial	$1,132.12
Rate for Payer: Aetna Medicare Advantage	$893.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$759.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$759.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$759.71
Rate for Payer: Cigna Commercial	$1,489.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$655.43
Rate for Payer: Qualcare PPO/HMO/WC	$446.89
Rate for Payer: UnitedHealthcare Community & State	$71.80
Rate for Payer: Wellpoint Medicaid Managed Care	$78.95

BIODELTCERAMSZCTAP FEM HD 36MM

Facility

$2,979.25

Service Code	HCPCS C1776
Hospital Charge Code	270691175
Hospital Revenue Code	278
Min. Negotiated Rate	$446.89
Max. Negotiated Rate	$720.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$655.43
Rate for Payer: Qualcare PPO/HMO/WC	$446.89

BIOFIRE BCID2 PANEL

Facility

$1,090.30

Service Code	HCPCS 87154
Hospital Charge Code	401387154
Hospital Revenue Code	306
Min. Negotiated Rate	$163.54
Max. Negotiated Rate	$163.54
Rate for Payer: Qualcare PPO/HMO/WC	$163.54

BIOFIRE BCID2 PANEL

Facility

$1,090.30

Service Code	HCPCS 87154
Hospital Charge Code	401387154
Hospital Revenue Code	306
Min. Negotiated Rate	$28.89
Max. Negotiated Rate	$787.13
Rate for Payer: Aetna Commercial	$593.12
Rate for Payer: Aetna Medicare Advantage	$706.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$787.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$787.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$218.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$787.13
Rate for Payer: Cigna Commercial	$545.15
Rate for Payer: Cigna Medicare Advantage	$218.06
Rate for Payer: Clover Medicare Advantage	$207.16
Rate for Payer: EmblemHealth Commercial	$654.18
Rate for Payer: Humana Medicare Advantage	$224.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$218.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.54
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$174.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$218.06
Rate for Payer: Wellcare Medicare Advantage	$218.06
Rate for Payer: Wellpoint Medicaid Managed Care	$28.89

BIOFIRE GI PANEL

Facility

$2,083.90

Service Code	HCPCS 87507
Hospital Charge Code	401387507
Hospital Revenue Code	306
Min. Negotiated Rate	$55.22
Max. Negotiated Rate	$1,504.45
Rate for Payer: Aetna Commercial	$1,133.64
Rate for Payer: Aetna Medicare Advantage	$1,350.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$416.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$439.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,504.45
Rate for Payer: Cigna Commercial	$1,041.95
Rate for Payer: Cigna Medicare Advantage	$416.78
Rate for Payer: Clover Medicare Advantage	$395.94
Rate for Payer: EmblemHealth Commercial	$1,250.34
Rate for Payer: Humana Medicare Advantage	$429.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$416.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$625.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$312.58
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$333.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$416.78
Rate for Payer: Wellcare Medicare Advantage	$416.78
Rate for Payer: Wellpoint Medicaid Managed Care	$55.22

BIOFIRE GI PANEL

Facility

$2,083.90

Service Code	HCPCS 87507
Hospital Charge Code	401387507
Hospital Revenue Code	306
Min. Negotiated Rate	$312.58
Max. Negotiated Rate	$312.58
Rate for Payer: Qualcare PPO/HMO/WC	$312.58

BIOFIRE RESP PANEL 2.1 COVID

Facility

$675.00

Service Code	HCPCS 0202U
Hospital Charge Code	40130202U
Hospital Revenue Code	306
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

BIOFIRE RESP PANEL 2.1 COVID

Facility

$675.00

Service Code	HCPCS 0202U
Hospital Charge Code	40130202U
Hospital Revenue Code	306
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$1,504.45
Rate for Payer: Aetna Commercial	$1,133.64
Rate for Payer: Aetna Medicare Advantage	$1,350.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,504.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$416.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,504.45
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: Cigna Medicare Advantage	$416.78
Rate for Payer: Clover Medicare Advantage	$395.94
Rate for Payer: EmblemHealth Commercial	$1,250.34
Rate for Payer: Humana Medicare Advantage	$429.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$416.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$333.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$416.78
Rate for Payer: Wellcare Medicare Advantage	$416.78
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

BIOFIRE RESP VIR PCR RP2 COVID

Facility

$275.00

Service Code	HCPCS 0100U
Hospital Charge Code	40130100U
Hospital Revenue Code	306
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$7.29

Know your out-of-pocket cost for care.

All Charges