Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BUTORPHANOL 2 MG/ML INJ

Facility

$83.25

Hospital Charge Code	60627721
Hospital Revenue Code	636
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$20.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

BUTORPHANOL 2 MG/ML INJ

Facility

$83.25

Hospital Charge Code	60627721
Hospital Revenue Code	636
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$31.64
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.49
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.21

BUTORPHANOL TART INJ 2MG/ML1ML

Facility

$64.00

Hospital Charge Code	6000814
Hospital Revenue Code	250
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

BUTORPHANOL TART INJ 2MG/ML1ML

Facility

$64.00

Hospital Charge Code	6000814
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$24.32
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.20
Rate for Payer: Oxford Commercial	$12.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$12.80
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

BUTTON BMT PATELLA LG 11150830

Facility

$3,045.00

Hospital Charge Code	270621913
Hospital Revenue Code	272
Min. Negotiated Rate	$456.75
Max. Negotiated Rate	$456.75
Rate for Payer: Qualcare PPO/HMO/WC	$456.75

BUTTON BMT PATELLA LG 11150830

Facility

$3,045.00

Hospital Charge Code	270621913
Hospital Revenue Code	272
Min. Negotiated Rate	$73.38
Max. Negotiated Rate	$1,522.50
Rate for Payer: Aetna Commercial	$1,157.10
Rate for Payer: Aetna Medicare Advantage	$913.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$776.48
Rate for Payer: Cigna Commercial	$1,522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$913.50
Rate for Payer: Oxford Commercial	$609.00
Rate for Payer: Qualcare PPO/HMO/WC	$456.75
Rate for Payer: UnitedHealthcare Commercial	$609.00
Rate for Payer: UnitedHealthcare Community & State	$73.38
Rate for Payer: Wellpoint Medicaid Managed Care	$80.69

BUTTON BMT PATELLA SM 11150826

Facility

$3,020.70

Hospital Charge Code	270609002
Hospital Revenue Code	272
Min. Negotiated Rate	$72.80
Max. Negotiated Rate	$1,510.35
Rate for Payer: Aetna Commercial	$1,147.87
Rate for Payer: Aetna Medicare Advantage	$906.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$770.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$770.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$770.28
Rate for Payer: Cigna Commercial	$1,510.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.21
Rate for Payer: Oxford Commercial	$604.14
Rate for Payer: Qualcare PPO/HMO/WC	$453.11
Rate for Payer: UnitedHealthcare Commercial	$604.14
Rate for Payer: UnitedHealthcare Community & State	$72.80
Rate for Payer: Wellpoint Medicaid Managed Care	$80.05

BUTTON BMT PATELLA SM 11150826

Facility

$3,020.70

Hospital Charge Code	270609002
Hospital Revenue Code	272
Min. Negotiated Rate	$453.11
Max. Negotiated Rate	$453.11
Rate for Payer: Qualcare PPO/HMO/WC	$453.11

BUTTON CERCLAGE HEX T25 3.5MM

Facility

$756.00

Hospital Charge Code	270676918
Hospital Revenue Code	272
Min. Negotiated Rate	$18.22
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$287.28
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.80
Rate for Payer: Oxford Commercial	$151.20
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Commercial	$151.20
Rate for Payer: UnitedHealthcare Community & State	$18.22
Rate for Payer: Wellpoint Medicaid Managed Care	$20.03

BUTTON CERCLAGE HEX T25 3.5MM

Facility

$756.00

Hospital Charge Code	270676918
Hospital Revenue Code	272
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$113.40
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

BUTTON HEX SST SING 2232-01-50

Facility

$248.00

Hospital Charge Code	270632366
Hospital Revenue Code	272
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$94.24
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.40
Rate for Payer: Oxford Commercial	$49.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$49.60
Rate for Payer: UnitedHealthcare Community & State	$5.98
Rate for Payer: Wellpoint Medicaid Managed Care	$6.57

BUTTON HEX SST SING 2232-01-50

Facility

$248.00

Hospital Charge Code	270632366
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

BUTTON NASAL SEPTAL 3cmSP78100

Facility

$370.00

Hospital Charge Code	270639164
Hospital Revenue Code	272
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$55.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

BUTTON NASAL SEPTAL 3cmSP78100

Facility

$370.00

Hospital Charge Code	270639164
Hospital Revenue Code	272
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.00
Rate for Payer: Oxford Commercial	$74.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Commercial	$74.00
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

BUTTON NASAL SEPTAL 5cmSP78105

Facility

$370.00

Hospital Charge Code	270639165
Hospital Revenue Code	272
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$55.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

BUTTON NASAL SEPTAL 5cmSP78105

Facility

$370.00

Hospital Charge Code	270639165
Hospital Revenue Code	272
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.00
Rate for Payer: Oxford Commercial	$74.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Commercial	$74.00
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

BUTTON NEXGEN MICR 29 59726129

Facility

$2,747.90

Hospital Charge Code	270633689
Hospital Revenue Code	272
Min. Negotiated Rate	$66.22
Max. Negotiated Rate	$1,373.95
Rate for Payer: Aetna Commercial	$1,044.20
Rate for Payer: Aetna Medicare Advantage	$824.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$700.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$700.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$700.71
Rate for Payer: Cigna Commercial	$1,373.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.37
Rate for Payer: Oxford Commercial	$549.58
Rate for Payer: Qualcare PPO/HMO/WC	$412.19
Rate for Payer: UnitedHealthcare Commercial	$549.58
Rate for Payer: UnitedHealthcare Community & State	$66.22
Rate for Payer: Wellpoint Medicaid Managed Care	$72.82

BUTTON NEXGEN MICR 29 59726129

Facility

$2,747.90

Hospital Charge Code	270633689
Hospital Revenue Code	272
Min. Negotiated Rate	$412.19
Max. Negotiated Rate	$412.19
Rate for Payer: Qualcare PPO/HMO/WC	$412.19

BUTTON NSL SEP 3.2 AP-SP-78100

Facility

$372.00

Hospital Charge Code	270634857
Hospital Revenue Code	272
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$186.00
Rate for Payer: Aetna Commercial	$141.36
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.60
Rate for Payer: Oxford Commercial	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Commercial	$74.40
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$9.86

BUTTON NSL SEP 3.2 AP-SP-78100

Facility

$372.00

Hospital Charge Code	270634857
Hospital Revenue Code	272
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

BUTTON NSL SEPT 1PC LG AP29-5

Facility

$817.65

Hospital Charge Code	270608814
Hospital Revenue Code	278
Min. Negotiated Rate	$122.65
Max. Negotiated Rate	$197.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.88
Rate for Payer: Qualcare PPO/HMO/WC	$122.65

BUTTON NSL SEPT 1PC LG AP29-5

Facility

$817.65

Hospital Charge Code	270608814
Hospital Revenue Code	278
Min. Negotiated Rate	$19.71
Max. Negotiated Rate	$408.82
Rate for Payer: Aetna Commercial	$310.71
Rate for Payer: Aetna Medicare Advantage	$245.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.50
Rate for Payer: Cigna Commercial	$408.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.88
Rate for Payer: Qualcare PPO/HMO/WC	$122.65
Rate for Payer: UnitedHealthcare Community & State	$19.71
Rate for Payer: Wellpoint Medicaid Managed Care	$21.67

BUTTON NSL SEPT 1PC MED AP29-4

Facility

$811.25

Hospital Charge Code	270608813
Hospital Revenue Code	278
Min. Negotiated Rate	$121.69
Max. Negotiated Rate	$196.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.47
Rate for Payer: Qualcare PPO/HMO/WC	$121.69

BUTTON NSL SEPT 1PC MED AP29-4

Facility

$811.25

Hospital Charge Code	270608813
Hospital Revenue Code	278
Min. Negotiated Rate	$19.55
Max. Negotiated Rate	$405.62
Rate for Payer: Aetna Commercial	$308.27
Rate for Payer: Aetna Medicare Advantage	$243.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.87
Rate for Payer: Cigna Commercial	$405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.47
Rate for Payer: Qualcare PPO/HMO/WC	$121.69
Rate for Payer: UnitedHealthcare Community & State	$19.55
Rate for Payer: Wellpoint Medicaid Managed Care	$21.50

BUTTON NSL SEPT 1PC SM AP29-3

Facility

$811.25

Hospital Charge Code	270608812
Hospital Revenue Code	278
Min. Negotiated Rate	$19.55
Max. Negotiated Rate	$405.62
Rate for Payer: Aetna Commercial	$308.27
Rate for Payer: Aetna Medicare Advantage	$243.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.87
Rate for Payer: Cigna Commercial	$405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.47
Rate for Payer: Qualcare PPO/HMO/WC	$121.69
Rate for Payer: UnitedHealthcare Community & State	$19.55
Rate for Payer: Wellpoint Medicaid Managed Care	$21.50

Know your out-of-pocket cost for care.

All Charges