Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ULTRA-COAT KERRISON MEDIUM 40D

Facility

$4,102.95

Hospital Charge Code	270691414
Hospital Revenue Code	272
Min. Negotiated Rate	$98.88
Max. Negotiated Rate	$2,051.47
Rate for Payer: Aetna Commercial	$1,559.12
Rate for Payer: Aetna Medicare Advantage	$1,230.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,046.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,046.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,046.25
Rate for Payer: Cigna Commercial	$2,051.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,230.88
Rate for Payer: Oxford Commercial	$820.59
Rate for Payer: Qualcare PPO/HMO/WC	$615.44
Rate for Payer: UnitedHealthcare Commercial	$820.59
Rate for Payer: UnitedHealthcare Community & State	$98.88
Rate for Payer: Wellpoint Medicaid Managed Care	$108.73

ULTRA FAST FIX AB CURVED

Facility

$1,715.00

Hospital Charge Code	270673674
Hospital Revenue Code	272
Min. Negotiated Rate	$41.33
Max. Negotiated Rate	$857.50
Rate for Payer: Aetna Commercial	$651.70
Rate for Payer: Aetna Medicare Advantage	$514.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.32
Rate for Payer: Cigna Commercial	$857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.50
Rate for Payer: Oxford Commercial	$343.00
Rate for Payer: Qualcare PPO/HMO/WC	$257.25
Rate for Payer: UnitedHealthcare Commercial	$343.00
Rate for Payer: UnitedHealthcare Community & State	$41.33
Rate for Payer: Wellpoint Medicaid Managed Care	$45.45

ULTRA FAST FIX AB CURVED

Facility

$1,715.00

Hospital Charge Code	270673674
Hospital Revenue Code	272
Min. Negotiated Rate	$257.25
Max. Negotiated Rate	$257.25
Rate for Payer: Qualcare PPO/HMO/WC	$257.25

ULTRA FAST FIX AB REVERSE CURV

Facility

$1,765.00

Hospital Charge Code	270673672
Hospital Revenue Code	272
Min. Negotiated Rate	$42.54
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$670.70
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.50
Rate for Payer: Oxford Commercial	$353.00
Rate for Payer: Qualcare PPO/HMO/WC	$264.75
Rate for Payer: UnitedHealthcare Commercial	$353.00
Rate for Payer: UnitedHealthcare Community & State	$42.54
Rate for Payer: Wellpoint Medicaid Managed Care	$46.77

ULTRA FAST FIX AB REVERSE CURV

Facility

$1,765.00

Hospital Charge Code	270673672
Hospital Revenue Code	272
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$264.75
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

ULTRA FAST FIX AB STRAIGHT

Facility

$1,765.00

Hospital Charge Code	270673676
Hospital Revenue Code	272
Min. Negotiated Rate	$42.54
Max. Negotiated Rate	$882.50
Rate for Payer: Aetna Commercial	$670.70
Rate for Payer: Aetna Medicare Advantage	$529.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.07
Rate for Payer: Cigna Commercial	$882.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.50
Rate for Payer: Oxford Commercial	$353.00
Rate for Payer: Qualcare PPO/HMO/WC	$264.75
Rate for Payer: UnitedHealthcare Commercial	$353.00
Rate for Payer: UnitedHealthcare Community & State	$42.54
Rate for Payer: Wellpoint Medicaid Managed Care	$46.77

ULTRA FAST FIX AB STRAIGHT

Facility

$1,765.00

Hospital Charge Code	270673676
Hospital Revenue Code	272
Min. Negotiated Rate	$264.75
Max. Negotiated Rate	$264.75
Rate for Payer: Qualcare PPO/HMO/WC	$264.75

ULTRAFLEX DIAMOND 4 1544

Facility

$5,250.00

Hospital Charge Code	270604777
Hospital Revenue Code	270
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) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,575.00
Rate for Payer: Oxford Commercial	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Commercial	$1,050.00
Rate for Payer: UnitedHealthcare Community & State	$126.53
Rate for Payer: Wellpoint Medicaid Managed Care	$139.12

ULTRAFLEX DIAMOND 4 1544

Facility

$5,250.00

Hospital Charge Code	270604777
Hospital Revenue Code	270
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$787.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

ULTRAFLEX DIAMOND 6 1546

Facility

$5,250.00

Hospital Charge Code	270604778
Hospital Revenue Code	270
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) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,575.00
Rate for Payer: Oxford Commercial	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Commercial	$1,050.00
Rate for Payer: UnitedHealthcare Community & State	$126.53
Rate for Payer: Wellpoint Medicaid Managed Care	$139.12

ULTRAFLEX DIAMOND 6 1546

Facility

$5,250.00

Hospital Charge Code	270604778
Hospital Revenue Code	270
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$787.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

ULTRAFLEX DIAMOND 8 1548

Facility

$5,250.00

Hospital Charge Code	270604779
Hospital Revenue Code	270
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) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,575.00
Rate for Payer: Oxford Commercial	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Commercial	$1,050.00
Rate for Payer: UnitedHealthcare Community & State	$126.53
Rate for Payer: Wellpoint Medicaid Managed Care	$139.12

ULTRAFLEX DIAMOND 8 1548

Facility

$5,250.00

Hospital Charge Code	270604779
Hospital Revenue Code	270
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$787.50
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

ULTRAFLEX ESOPHAGEAL 5

Facility

$6,625.00

Hospital Charge Code	270604780
Hospital Revenue Code	270
Min. Negotiated Rate	$993.75
Max. Negotiated Rate	$993.75
Rate for Payer: Qualcare PPO/HMO/WC	$993.75

ULTRAFLEX ESOPHAGEAL 5

Facility

$6,625.00

Hospital Charge Code	270604780
Hospital Revenue Code	270
Min. Negotiated Rate	$159.66
Max. Negotiated Rate	$3,312.50
Rate for Payer: Aetna Commercial	$2,517.50
Rate for Payer: Aetna Medicare Advantage	$1,987.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,689.38
Rate for Payer: Cigna Commercial	$3,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,987.50
Rate for Payer: Oxford Commercial	$1,325.00
Rate for Payer: Qualcare PPO/HMO/WC	$993.75
Rate for Payer: UnitedHealthcare Commercial	$1,325.00
Rate for Payer: UnitedHealthcare Community & State	$159.66
Rate for Payer: Wellpoint Medicaid Managed Care	$175.56

ULTRAFLEX ESOPHAGEAL 5

Facility

$4,274.45

Hospital Charge Code	270604782
Hospital Revenue Code	270
Min. Negotiated Rate	$641.17
Max. Negotiated Rate	$641.17
Rate for Payer: Qualcare PPO/HMO/WC	$641.17

ULTRAFLEX ESOPHAGEAL 5

Facility

$4,274.45

Hospital Charge Code	270604782
Hospital Revenue Code	270
Min. Negotiated Rate	$103.01
Max. Negotiated Rate	$2,137.22
Rate for Payer: Aetna Commercial	$1,624.29
Rate for Payer: Aetna Medicare Advantage	$1,282.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,089.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,089.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,089.98
Rate for Payer: Cigna Commercial	$2,137.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,282.34
Rate for Payer: Oxford Commercial	$854.89
Rate for Payer: Qualcare PPO/HMO/WC	$641.17
Rate for Payer: UnitedHealthcare Commercial	$854.89
Rate for Payer: UnitedHealthcare Community & State	$103.01
Rate for Payer: Wellpoint Medicaid Managed Care	$113.27

ULTRAFLEX ESOPHAGEAL 6

Facility

$6,625.00

Hospital Charge Code	270604783
Hospital Revenue Code	270
Min. Negotiated Rate	$993.75
Max. Negotiated Rate	$993.75
Rate for Payer: Qualcare PPO/HMO/WC	$993.75

ULTRAFLEX ESOPHAGEAL 6

Facility

$6,625.00

Hospital Charge Code	270604781
Hospital Revenue Code	270
Min. Negotiated Rate	$159.66
Max. Negotiated Rate	$3,312.50
Rate for Payer: Aetna Commercial	$2,517.50
Rate for Payer: Aetna Medicare Advantage	$1,987.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,689.38
Rate for Payer: Cigna Commercial	$3,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,987.50
Rate for Payer: Oxford Commercial	$1,325.00
Rate for Payer: Qualcare PPO/HMO/WC	$993.75
Rate for Payer: UnitedHealthcare Commercial	$1,325.00
Rate for Payer: UnitedHealthcare Community & State	$159.66
Rate for Payer: Wellpoint Medicaid Managed Care	$175.56

ULTRAFLEX ESOPHAGEAL 6

Facility

$6,625.00

Hospital Charge Code	270604781
Hospital Revenue Code	270
Min. Negotiated Rate	$993.75
Max. Negotiated Rate	$993.75
Rate for Payer: Qualcare PPO/HMO/WC	$993.75

ULTRAFLEX ESOPHAGEAL 6

Facility

$6,625.00

Hospital Charge Code	270604783
Hospital Revenue Code	270
Min. Negotiated Rate	$159.66
Max. Negotiated Rate	$3,312.50
Rate for Payer: Aetna Commercial	$2,517.50
Rate for Payer: Aetna Medicare Advantage	$1,987.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,689.38
Rate for Payer: Cigna Commercial	$3,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,987.50
Rate for Payer: Oxford Commercial	$1,325.00
Rate for Payer: Qualcare PPO/HMO/WC	$993.75
Rate for Payer: UnitedHealthcare Commercial	$1,325.00
Rate for Payer: UnitedHealthcare Community & State	$159.66
Rate for Payer: Wellpoint Medicaid Managed Care	$175.56

ULTRASLING EXTRA LARGE

Facility

$256.40

Hospital Charge Code	270666409
Hospital Revenue Code	270
Min. Negotiated Rate	$38.46
Max. Negotiated Rate	$38.46
Rate for Payer: Qualcare PPO/HMO/WC	$38.46

ULTRASLING EXTRA LARGE

Facility

$256.40

Hospital Charge Code	270666409
Hospital Revenue Code	270
Min. Negotiated Rate	$6.18
Max. Negotiated Rate	$128.20
Rate for Payer: Aetna Commercial	$97.43
Rate for Payer: Aetna Medicare Advantage	$76.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.38
Rate for Payer: Cigna Commercial	$128.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.92
Rate for Payer: Oxford Commercial	$51.28
Rate for Payer: Qualcare PPO/HMO/WC	$38.46
Rate for Payer: UnitedHealthcare Commercial	$51.28
Rate for Payer: UnitedHealthcare Community & State	$6.18
Rate for Payer: Wellpoint Medicaid Managed Care	$6.79

ULTRASLING III BLK MEDIUM

Facility

$241.90

Hospital Charge Code	270669813
Hospital Revenue Code	270
Min. Negotiated Rate	$36.28
Max. Negotiated Rate	$36.28
Rate for Payer: Qualcare PPO/HMO/WC	$36.28

ULTRASLING III BLK MEDIUM

Facility

$241.90

Hospital Charge Code	270669813
Hospital Revenue Code	270
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$120.95
Rate for Payer: Aetna Commercial	$91.92
Rate for Payer: Aetna Medicare Advantage	$72.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.68
Rate for Payer: Cigna Commercial	$120.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.57
Rate for Payer: Oxford Commercial	$48.38
Rate for Payer: Qualcare PPO/HMO/WC	$36.28
Rate for Payer: UnitedHealthcare Commercial	$48.38
Rate for Payer: UnitedHealthcare Community & State	$5.83
Rate for Payer: Wellpoint Medicaid Managed Care	$6.41

Know your out-of-pocket cost for care.

All Charges