Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BURR TAPER FISSURE S 1.6x4.5MM

Facility

$430.50

Hospital Charge Code	270674461
Hospital Revenue Code	272
Min. Negotiated Rate	$10.38
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$163.59
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.15
Rate for Payer: Oxford Commercial	$86.10
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$86.10
Rate for Payer: UnitedHealthcare Community & State	$10.38
Rate for Payer: Wellpoint Medicaid Managed Care	$11.41

BURR TAPER FISSURE S 2.3x5.2MM

Facility

$430.50

Hospital Charge Code	270674464
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR TAPER FISSURE S 2.3x5.2MM

Facility

$430.50

Hospital Charge Code	270674464
Hospital Revenue Code	272
Min. Negotiated Rate	$10.38
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$163.59
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.15
Rate for Payer: Oxford Commercial	$86.10
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$86.10
Rate for Payer: UnitedHealthcare Community & State	$10.38
Rate for Payer: Wellpoint Medicaid Managed Care	$11.41

BURR TAPER FISSURE S 2.6x6.8MM

Facility

$430.50

Hospital Charge Code	270674467
Hospital Revenue Code	272
Min. Negotiated Rate	$10.38
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$163.59
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.15
Rate for Payer: Oxford Commercial	$86.10
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$86.10
Rate for Payer: UnitedHealthcare Community & State	$10.38
Rate for Payer: Wellpoint Medicaid Managed Care	$11.41

BURR TAPER FISSURE S 2.6x6.8MM

Facility

$430.50

Hospital Charge Code	270674467
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR ULTRAPOWER ROUND 6.0mm

Facility

$339.90

Hospital Charge Code	270646930
Hospital Revenue Code	271
Min. Negotiated Rate	$50.98
Max. Negotiated Rate	$50.98
Rate for Payer: Qualcare PPO/HMO/WC	$50.98

BURR ULTRAPOWER ROUND 6.0mm

Facility

$339.90

Hospital Charge Code	270646930
Hospital Revenue Code	271
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$169.95
Rate for Payer: Aetna Commercial	$129.16
Rate for Payer: Aetna Medicare Advantage	$101.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.67
Rate for Payer: Cigna Commercial	$169.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.97
Rate for Payer: Oxford Commercial	$67.98
Rate for Payer: Qualcare PPO/HMO/WC	$50.98
Rate for Payer: UnitedHealthcare Commercial	$67.98
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.01

BUR SOLID OVAL 5.5MM

Facility

$112.50

Hospital Charge Code	270673896
Hospital Revenue Code	272
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$42.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.75
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.88
Rate for Payer: UnitedHealthcare Commercial	$22.50
Rate for Payer: UnitedHealthcare Community & State	$2.71
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

BUR SOLID OVAL 5.5MM

Facility

$112.50

Hospital Charge Code	270673896
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

BUR STRY BRL HLW 5.5MM 275-951

Facility

$531.25

Hospital Charge Code	270601422
Hospital Revenue Code	272
Min. Negotiated Rate	$12.80
Max. Negotiated Rate	$265.62
Rate for Payer: Aetna Commercial	$201.88
Rate for Payer: Aetna Medicare Advantage	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.47
Rate for Payer: Cigna Commercial	$265.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.38
Rate for Payer: Oxford Commercial	$106.25
Rate for Payer: Qualcare PPO/HMO/WC	$79.69
Rate for Payer: UnitedHealthcare Commercial	$106.25
Rate for Payer: UnitedHealthcare Community & State	$12.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.08

BUR STRY BRL HLW 5.5MM 275-951

Facility

$531.25

Hospital Charge Code	270601422
Hospital Revenue Code	272
Min. Negotiated Rate	$79.69
Max. Negotiated Rate	$79.69
Rate for Payer: Qualcare PPO/HMO/WC	$79.69

BUR STRY CARB 2.1 296-100-321

Facility

$44.00

Hospital Charge Code	270614528
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

BUR STRY CARB 2.1 296-100-321

Facility

$44.00

Hospital Charge Code	270614528
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.20
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

BUR STRY CARB 2.1 296-101-321

Facility

$22.45

Hospital Charge Code	270624494
Hospital Revenue Code	272
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

BUR STRY CARB 2.1 296-101-321

Facility

$22.45

Hospital Charge Code	270624494
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$8.53
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.74
Rate for Payer: Oxford Commercial	$4.49
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$4.49
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

BUR STRY DIAM 1.6MM 2296101316

Facility

$50.45

Hospital Charge Code	270612018
Hospital Revenue Code	272
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$25.23
Rate for Payer: Aetna Commercial	$19.17
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.13
Rate for Payer: Oxford Commercial	$10.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.57
Rate for Payer: UnitedHealthcare Commercial	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.34

BUR STRY DIAM 1.6MM 2296101316

Facility

$50.45

Hospital Charge Code	270612018
Hospital Revenue Code	272
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$7.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.57

BUR STRY GUARD REDUCT 26090120

Facility

$2,105.65

Hospital Charge Code	270601437
Hospital Revenue Code	272
Min. Negotiated Rate	$50.75
Max. Negotiated Rate	$1,052.83
Rate for Payer: Aetna Commercial	$800.15
Rate for Payer: Aetna Medicare Advantage	$631.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.94
Rate for Payer: Cigna Commercial	$1,052.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.70
Rate for Payer: Oxford Commercial	$421.13
Rate for Payer: Qualcare PPO/HMO/WC	$315.85
Rate for Payer: UnitedHealthcare Commercial	$421.13
Rate for Payer: UnitedHealthcare Community & State	$50.75
Rate for Payer: Wellpoint Medicaid Managed Care	$55.80

BUR STRY GUARD REDUCT 26090120

Facility

$2,105.65

Hospital Charge Code	270601437
Hospital Revenue Code	272
Min. Negotiated Rate	$315.85
Max. Negotiated Rate	$315.85
Rate for Payer: Qualcare PPO/HMO/WC	$315.85

BUR STRY PEAR

Facility

$216.00

Hospital Charge Code	6064768
Hospital Revenue Code	272
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

BUR STRY PEAR

Facility

$216.00

Hospital Charge Code	6064768
Hospital Revenue Code	272
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$82.08
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.80
Rate for Payer: Oxford Commercial	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$43.20
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$5.72

BUR STRY PEAR *******

Facility

$166.00

Hospital Charge Code	1606524
Hospital Revenue Code	272
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

BUR STRY PEAR *******

Facility

$166.00

Hospital Charge Code	1606524
Hospital Revenue Code	272
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$63.08
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.80
Rate for Payer: Oxford Commercial	$33.20
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$33.20
Rate for Payer: UnitedHealthcare Community & State	$4.00
Rate for Payer: Wellpoint Medicaid Managed Care	$4.40

BUR STRY PEAR *******

Facility

$166.00

Hospital Charge Code	1606474
Hospital Revenue Code	272
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

BUR STRY PEAR *******

Facility

$166.00

Hospital Charge Code	1606474
Hospital Revenue Code	272
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$83.00
Rate for Payer: Aetna Commercial	$63.08
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.80
Rate for Payer: Oxford Commercial	$33.20
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$33.20
Rate for Payer: UnitedHealthcare Community & State	$4.00
Rate for Payer: Wellpoint Medicaid Managed Care	$4.40

Know your out-of-pocket cost for care.

All Charges