Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WALLSTENT MONORAIL 10x24 71840

Facility

$7,757.50

Hospital Charge Code	270631408
Hospital Revenue Code	278
Min. Negotiated Rate	$1,163.62
Max. Negotiated Rate	$1,877.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,551.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,877.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,706.65
Rate for Payer: Qualcare PPO/HMO/WC	$1,163.62

WALNUT (F256) IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	39900354
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

WALNUT (F256) IGE

Facility

$390.00

Service Code	HCPCS 86003
Hospital Charge Code	39900354
Hospital Revenue Code	305
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$14.20
Rate for Payer: Aetna Medicare Advantage	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.84
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.22
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Medicare Advantage	$5.22
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

WAND 50-S

Facility

$800.00

Hospital Charge Code	270676343
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

WAND 50-S

Facility

$800.00

Hospital Charge Code	270676343
Hospital Revenue Code	272
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

WAND 90-S ACCELERATOR

Facility

$750.00

Hospital Charge Code	270676342
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

WAND 90-S ACCELERATOR

Facility

$750.00

Hospital Charge Code	270676342
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

WAND APOLLO ABLATOR 50 DEG MUT

Facility

$995.00

Hospital Charge Code	270687552
Hospital Revenue Code	272
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$149.25
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

WAND APOLLO ABLATOR 50 DEG MUT

Facility

$995.00

Hospital Charge Code	270687552
Hospital Revenue Code	272
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.50
Rate for Payer: Oxford Commercial	$199.00
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Commercial	$199.00
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.37

WAND ARTHRO 2.5/60 DEGRE

Facility

$1,276.85

Hospital Charge Code	270605476
Hospital Revenue Code	272
Min. Negotiated Rate	$30.77
Max. Negotiated Rate	$638.42
Rate for Payer: Aetna Commercial	$485.20
Rate for Payer: Aetna Medicare Advantage	$383.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$325.60
Rate for Payer: Cigna Commercial	$638.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.06
Rate for Payer: Oxford Commercial	$255.37
Rate for Payer: Qualcare PPO/HMO/WC	$191.53
Rate for Payer: UnitedHealthcare Commercial	$255.37
Rate for Payer: UnitedHealthcare Community & State	$30.77
Rate for Payer: Wellpoint Medicaid Managed Care	$33.84

WAND ARTHRO 2.5/60 DEGRE

Facility

$1,276.85

Hospital Charge Code	270605476
Hospital Revenue Code	272
Min. Negotiated Rate	$191.53
Max. Negotiated Rate	$191.53
Rate for Payer: Qualcare PPO/HMO/WC	$191.53

WAND ARTHRO 3.5/90 DEGRE

Facility

$1,331.25

Hospital Charge Code	270605475
Hospital Revenue Code	272
Min. Negotiated Rate	$199.69
Max. Negotiated Rate	$199.69
Rate for Payer: Qualcare PPO/HMO/WC	$199.69

WAND ARTHRO 3.5/90 DEGRE

Facility

$1,331.25

Hospital Charge Code	270605475
Hospital Revenue Code	272
Min. Negotiated Rate	$32.08
Max. Negotiated Rate	$665.62
Rate for Payer: Aetna Commercial	$505.88
Rate for Payer: Aetna Medicare Advantage	$399.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.47
Rate for Payer: Cigna Commercial	$665.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$399.38
Rate for Payer: Oxford Commercial	$266.25
Rate for Payer: Qualcare PPO/HMO/WC	$199.69
Rate for Payer: UnitedHealthcare Commercial	$266.25
Rate for Payer: UnitedHealthcare Community & State	$32.08
Rate for Payer: Wellpoint Medicaid Managed Care	$35.28

WAND ARTHRO 4.5/90 DEG A134501

Facility

$1,035.25

Hospital Charge Code	270613777
Hospital Revenue Code	272
Min. Negotiated Rate	$24.95
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$393.39
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.57
Rate for Payer: Oxford Commercial	$207.05
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$207.05
Rate for Payer: UnitedHealthcare Community & State	$24.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

WAND ARTHRO 4.5/90 DEG A134501

Facility

$1,035.25

Hospital Charge Code	270613777
Hospital Revenue Code	272
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

WAND EVAC 70 COBLATOR

Facility

$1,335.00

Hospital Charge Code	270630595
Hospital Revenue Code	272
Min. Negotiated Rate	$32.17
Max. Negotiated Rate	$667.50
Rate for Payer: Aetna Commercial	$507.30
Rate for Payer: Aetna Medicare Advantage	$400.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.43
Rate for Payer: Cigna Commercial	$667.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.50
Rate for Payer: Oxford Commercial	$267.00
Rate for Payer: Qualcare PPO/HMO/WC	$200.25
Rate for Payer: UnitedHealthcare Commercial	$267.00
Rate for Payer: UnitedHealthcare Community & State	$32.17
Rate for Payer: Wellpoint Medicaid Managed Care	$35.38

WAND EVAC 70 COBLATOR

Facility

$1,335.00

Hospital Charge Code	270630595
Hospital Revenue Code	272
Min. Negotiated Rate	$200.25
Max. Negotiated Rate	$200.25
Rate for Payer: Qualcare PPO/HMO/WC	$200.25

WAND GBA ARTHR SUCT 3.5 133501

Facility

$1,226.45

Hospital Charge Code	270617452
Hospital Revenue Code	272
Min. Negotiated Rate	$183.97
Max. Negotiated Rate	$183.97
Rate for Payer: Qualcare PPO/HMO/WC	$183.97

WAND GBA ARTHR SUCT 3.5 133501

Facility

$1,226.45

Hospital Charge Code	270617452
Hospital Revenue Code	272
Min. Negotiated Rate	$29.56
Max. Negotiated Rate	$613.23
Rate for Payer: Aetna Commercial	$466.05
Rate for Payer: Aetna Medicare Advantage	$367.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.74
Rate for Payer: Cigna Commercial	$613.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.94
Rate for Payer: Oxford Commercial	$245.29
Rate for Payer: Qualcare PPO/HMO/WC	$183.97
Rate for Payer: UnitedHealthcare Commercial	$245.29
Rate for Payer: UnitedHealthcare Community & State	$29.56
Rate for Payer: Wellpoint Medicaid Managed Care	$32.50

WAND OPES 90DEGREE LOW PROFILE

Facility

$868.00

Hospital Charge Code	270636746
Hospital Revenue Code	272
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Qualcare PPO/HMO/WC	$130.20

WAND OPES 90DEGREE LOW PROFILE

Facility

$868.00

Hospital Charge Code	270636746
Hospital Revenue Code	272
Min. Negotiated Rate	$20.92
Max. Negotiated Rate	$434.00
Rate for Payer: Aetna Commercial	$329.84
Rate for Payer: Aetna Medicare Advantage	$260.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.34
Rate for Payer: Cigna Commercial	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.40
Rate for Payer: Oxford Commercial	$173.60
Rate for Payer: Qualcare PPO/HMO/WC	$130.20
Rate for Payer: UnitedHealthcare Commercial	$173.60
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$23.00

WAND OPES ABLATOR MENISECTOMY

Facility

$570.45

Hospital Charge Code	270636744
Hospital Revenue Code	272
Min. Negotiated Rate	$85.57
Max. Negotiated Rate	$85.57
Rate for Payer: Qualcare PPO/HMO/WC	$85.57

WAND OPES ABLATOR MENISECTOMY

Facility

$570.45

Hospital Charge Code	270636744
Hospital Revenue Code	272
Min. Negotiated Rate	$13.75
Max. Negotiated Rate	$285.23
Rate for Payer: Aetna Commercial	$216.77
Rate for Payer: Aetna Medicare Advantage	$171.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.46
Rate for Payer: Cigna Commercial	$285.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.13
Rate for Payer: Oxford Commercial	$114.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.57
Rate for Payer: UnitedHealthcare Commercial	$114.09
Rate for Payer: UnitedHealthcare Community & State	$13.75
Rate for Payer: Wellpoint Medicaid Managed Care	$15.12

WAND PORT APOLLO RF 90 DEG

Facility

$950.00

Hospital Charge Code	270681362
Hospital Revenue Code	272
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

WAND PORT APOLLO RF 90 DEG

Facility

$950.00

Hospital Charge Code	270681362
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

Know your out-of-pocket cost for care.

All Charges