Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BN GFT OSTEOLINK STR 50X10X7MM

Facility

$13,575.00

Service Code	HCPCS C1713
Hospital Charge Code	270699028
Hospital Revenue Code	278
Min. Negotiated Rate	$327.16
Max. Negotiated Rate	$6,787.50
Rate for Payer: Aetna Commercial	$5,158.50
Rate for Payer: Aetna Medicare Advantage	$4,072.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,461.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,461.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,715.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,461.62
Rate for Payer: Cigna Commercial	$6,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,285.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,986.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,036.25
Rate for Payer: UnitedHealthcare Community & State	$327.16
Rate for Payer: Wellpoint Medicaid Managed Care	$359.74

BNP

Facility

$240.40

Service Code	HCPCS 83880
Hospital Charge Code	38476795
Hospital Revenue Code	301
Min. Negotiated Rate	$36.06
Max. Negotiated Rate	$36.06
Rate for Payer: Qualcare PPO/HMO/WC	$36.06

BNP

Facility

$240.40

Service Code	HCPCS 83880
Hospital Charge Code	38476795
Hospital Revenue Code	301
Min. Negotiated Rate	$6.37
Max. Negotiated Rate	$141.72
Rate for Payer: Aetna Commercial	$106.79
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.72
Rate for Payer: Cigna Commercial	$120.20
Rate for Payer: Cigna Medicare Advantage	$39.26
Rate for Payer: Clover Medicare Advantage	$37.30
Rate for Payer: EmblemHealth Commercial	$117.78
Rate for Payer: Humana Medicare Advantage	$40.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.12
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.06
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$31.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$39.26
Rate for Payer: Wellcare Medicare Advantage	$39.26
Rate for Payer: Wellpoint Medicaid Managed Care	$6.37

BOARD SPECIMEN LOCAL

Facility

$100.00

Hospital Charge Code	270601221
Hospital Revenue Code	270
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.00
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.65

BOARD SPECIMEN LOCAL

Facility

$100.00

Hospital Charge Code	270601221
Hospital Revenue Code	270
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

BOBCOCK GRASPER 10 MM

Facility

$1,276.31

Hospital Charge Code	270669360
Hospital Revenue Code	272
Min. Negotiated Rate	$191.45
Max. Negotiated Rate	$191.45
Rate for Payer: Qualcare PPO/HMO/WC	$191.45

BOBCOCK GRASPER 10 MM

Facility

$1,276.31

Hospital Charge Code	270669360
Hospital Revenue Code	272
Min. Negotiated Rate	$30.76
Max. Negotiated Rate	$638.15
Rate for Payer: Aetna Commercial	$485.00
Rate for Payer: Aetna Medicare Advantage	$382.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$325.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$325.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$325.46
Rate for Payer: Cigna Commercial	$638.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.89
Rate for Payer: Oxford Commercial	$255.26
Rate for Payer: Qualcare PPO/HMO/WC	$191.45
Rate for Payer: UnitedHealthcare Commercial	$255.26
Rate for Payer: UnitedHealthcare Community & State	$30.76
Rate for Payer: Wellpoint Medicaid Managed Care	$33.82

BOBCOCK GRASPER 5 MM

Facility

$1,251.27

Hospital Charge Code	270669361
Hospital Revenue Code	272
Min. Negotiated Rate	$30.16
Max. Negotiated Rate	$625.63
Rate for Payer: Aetna Commercial	$475.48
Rate for Payer: Aetna Medicare Advantage	$375.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.07
Rate for Payer: Cigna Commercial	$625.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.38
Rate for Payer: Oxford Commercial	$250.25
Rate for Payer: Qualcare PPO/HMO/WC	$187.69
Rate for Payer: UnitedHealthcare Commercial	$250.25
Rate for Payer: UnitedHealthcare Community & State	$30.16
Rate for Payer: Wellpoint Medicaid Managed Care	$33.16

BOBCOCK GRASPER 5 MM

Facility

$1,251.27

Hospital Charge Code	270669361
Hospital Revenue Code	272
Min. Negotiated Rate	$187.69
Max. Negotiated Rate	$187.69
Rate for Payer: Qualcare PPO/HMO/WC	$187.69

BODY FLUID CELL BLOCK.SMEAR***

Facility

$139.00

Hospital Charge Code	3010501
Hospital Revenue Code	309
Min. Negotiated Rate	$20.85
Max. Negotiated Rate	$20.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.85

BODY FLUID CELL BLOCK.SMEAR***

Facility

$139.00

Hospital Charge Code	3010501
Hospital Revenue Code	309
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$52.82
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.45
Rate for Payer: Cigna Commercial	$69.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.35
Rate for Payer: Wellpoint Medicaid Managed Care	$3.68

BODY FLUID LDH (OTHER)***

Facility

$15.00

Hospital Charge Code	3010519
Hospital Revenue Code	309
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

BODY FLUID LDH (OTHER)***

Facility

$15.00

Hospital Charge Code	3010519
Hospital Revenue Code	309
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

BODY MP XXL PROX 126DEG 35MM

Facility

$17,910.00

Service Code	HCPCS C1776
Hospital Charge Code	270677768
Hospital Revenue Code	278
Min. Negotiated Rate	$431.63
Max. Negotiated Rate	$8,955.00
Rate for Payer: Aetna Commercial	$6,805.80
Rate for Payer: Aetna Medicare Advantage	$5,373.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,567.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,567.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,567.05
Rate for Payer: Cigna Commercial	$8,955.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,334.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,940.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,686.50
Rate for Payer: UnitedHealthcare Community & State	$431.63
Rate for Payer: Wellpoint Medicaid Managed Care	$474.62

BODY MP XXL PROX 126DEG 35MM

Facility

$17,910.00

Service Code	HCPCS C1776
Hospital Charge Code	270677768
Hospital Revenue Code	278
Min. Negotiated Rate	$2,686.50
Max. Negotiated Rate	$4,334.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,582.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,334.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,940.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,686.50

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GP
Hospital Charge Code	84201123
Hospital Revenue Code	429
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GP
Hospital Charge Code	9109133
Hospital Revenue Code	420
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GO
Hospital Charge Code	84201141
Hospital Revenue Code	439
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GP
Hospital Charge Code	84202015
Hospital Revenue Code	420
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GO
Hospital Charge Code	84201141
Hospital Revenue Code	439
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GP
Hospital Charge Code	84201123
Hospital Revenue Code	429
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GP
Hospital Charge Code	9109133
Hospital Revenue Code	420
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GP
Hospital Charge Code	84202015
Hospital Revenue Code	420
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GO
Hospital Charge Code	74203093
Hospital Revenue Code	430
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

BODY POS CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8981GO
Hospital Charge Code	74203093
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Know your out-of-pocket cost for care.

All Charges