Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CAP DPY PIN 5MM FF10551

Facility

$65.65

Hospital Charge Code	270612490
Hospital Revenue Code	272
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

CAP DPY PIN 5MM FF10551

Facility

$65.65

Hospital Charge Code	270612490
Hospital Revenue Code	272
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.70
Rate for Payer: Oxford Commercial	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$13.13
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

CAP EDS SCREW 7000-0000

Facility

$730.45

Hospital Charge Code	270628751
Hospital Revenue Code	272
Min. Negotiated Rate	$17.60
Max. Negotiated Rate	$365.23
Rate for Payer: Aetna Commercial	$277.57
Rate for Payer: Aetna Medicare Advantage	$219.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.26
Rate for Payer: Cigna Commercial	$365.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.13
Rate for Payer: Oxford Commercial	$146.09
Rate for Payer: Qualcare PPO/HMO/WC	$109.57
Rate for Payer: UnitedHealthcare Commercial	$146.09
Rate for Payer: UnitedHealthcare Community & State	$17.60
Rate for Payer: Wellpoint Medicaid Managed Care	$19.36

CAP EDS SCREW 7000-0000

Facility

$730.45

Hospital Charge Code	270628751
Hospital Revenue Code	272
Min. Negotiated Rate	$109.57
Max. Negotiated Rate	$109.57
Rate for Payer: Qualcare PPO/HMO/WC	$109.57

CAP END 10mm

Facility

$805.00

Hospital Charge Code	270665225
Hospital Revenue Code	278
Min. Negotiated Rate	$19.40
Max. Negotiated Rate	$402.50
Rate for Payer: Aetna Commercial	$305.90
Rate for Payer: Aetna Medicare Advantage	$241.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.28
Rate for Payer: Cigna Commercial	$402.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$177.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.75
Rate for Payer: UnitedHealthcare Community & State	$19.40
Rate for Payer: Wellpoint Medicaid Managed Care	$21.33

CAP END 10mm

Facility

$805.00

Hospital Charge Code	270665225
Hospital Revenue Code	278
Min. Negotiated Rate	$120.75
Max. Negotiated Rate	$194.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$161.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$177.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.75

CAP END 10mm DC29259

Facility

$744.00

Hospital Charge Code	270635454
Hospital Revenue Code	272
Min. Negotiated Rate	$111.60
Max. Negotiated Rate	$111.60
Rate for Payer: Qualcare PPO/HMO/WC	$111.60

CAP END 10mm DC29259

Facility

$744.00

Hospital Charge Code	270635454
Hospital Revenue Code	272
Min. Negotiated Rate	$17.93
Max. Negotiated Rate	$372.00
Rate for Payer: Aetna Commercial	$282.72
Rate for Payer: Aetna Medicare Advantage	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.72
Rate for Payer: Cigna Commercial	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.20
Rate for Payer: Oxford Commercial	$148.80
Rate for Payer: Qualcare PPO/HMO/WC	$111.60
Rate for Payer: UnitedHealthcare Commercial	$148.80
Rate for Payer: UnitedHealthcare Community & State	$17.93
Rate for Payer: Wellpoint Medicaid Managed Care	$19.72

CAP END 15MM

Facility

$1,071.00

Hospital Charge Code	270659945
Hospital Revenue Code	278
Min. Negotiated Rate	$25.81
Max. Negotiated Rate	$535.50
Rate for Payer: Aetna Commercial	$406.98
Rate for Payer: Aetna Medicare Advantage	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.11
Rate for Payer: Cigna Commercial	$535.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$160.65
Rate for Payer: UnitedHealthcare Community & State	$25.81
Rate for Payer: Wellpoint Medicaid Managed Care	$28.38

CAP END 15MM

Facility

$1,071.00

Hospital Charge Code	270659945
Hospital Revenue Code	278
Min. Negotiated Rate	$160.65
Max. Negotiated Rate	$259.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.62
Rate for Payer: Qualcare PPO/HMO/WC	$160.65

CAP END DISTAL STERILE

Facility

$259.50

Hospital Charge Code	270695114
Hospital Revenue Code	272
Min. Negotiated Rate	$38.92
Max. Negotiated Rate	$38.92
Rate for Payer: Qualcare PPO/HMO/WC	$38.92

CAP END DISTAL STERILE

Facility

$259.50

Hospital Charge Code	270695114
Hospital Revenue Code	272
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$129.75
Rate for Payer: Aetna Commercial	$98.61
Rate for Payer: Aetna Medicare Advantage	$77.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.17
Rate for Payer: Cigna Commercial	$129.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.85
Rate for Payer: Oxford Commercial	$51.90
Rate for Payer: Qualcare PPO/HMO/WC	$38.92
Rate for Payer: UnitedHealthcare Commercial	$51.90
Rate for Payer: UnitedHealthcare Community & State	$6.25
Rate for Payer: Wellpoint Medicaid Managed Care	$6.88

CAP F/11.0mm S.S TUBES & FIBER

Facility

$7.26

Hospital Charge Code	270639895
Hospital Revenue Code	278
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.63
Rate for Payer: Aetna Commercial	$2.76
Rate for Payer: Aetna Medicare Advantage	$2.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

CAP F/11.0mm S.S TUBES & FIBER

Facility

$7.26

Hospital Charge Code	270639895
Hospital Revenue Code	278
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

CAP FLO CLEVER

Facility

$134.75

Hospital Charge Code	270678922
Hospital Revenue Code	272
Min. Negotiated Rate	$20.21
Max. Negotiated Rate	$20.21
Rate for Payer: Qualcare PPO/HMO/WC	$20.21

CAP FLO CLEVER

Facility

$134.75

Hospital Charge Code	270678922
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$67.38
Rate for Payer: Aetna Commercial	$51.20
Rate for Payer: Aetna Medicare Advantage	$40.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.36
Rate for Payer: Cigna Commercial	$67.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.42
Rate for Payer: Oxford Commercial	$26.95
Rate for Payer: Qualcare PPO/HMO/WC	$20.21
Rate for Payer: UnitedHealthcare Commercial	$26.95
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3.57

CAP (FOR ADAPTOR)******

Facility

$18.00

Hospital Charge Code	8003055
Hospital Revenue Code	279
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

CAP (FOR ADAPTOR)******

Facility

$18.00

Hospital Charge Code	8003055
Hospital Revenue Code	279
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.40
Rate for Payer: Oxford Commercial	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$3.60
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

CAP FOR TENKHOFF CATH****

Facility

$9.00

Hospital Charge Code	8002727
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

CAP FOR TENKHOFF CATH****

Facility

$9.00

Hospital Charge Code	8002727
Hospital Revenue Code	279
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

CAP GAS

Facility

$1,592.80

Hospital Charge Code	270683461
Hospital Revenue Code	272
Min. Negotiated Rate	$38.39
Max. Negotiated Rate	$796.40
Rate for Payer: Aetna Commercial	$605.26
Rate for Payer: Aetna Medicare Advantage	$477.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.16
Rate for Payer: Cigna Commercial	$796.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.84
Rate for Payer: Oxford Commercial	$318.56
Rate for Payer: Qualcare PPO/HMO/WC	$238.92
Rate for Payer: UnitedHealthcare Commercial	$318.56
Rate for Payer: UnitedHealthcare Community & State	$38.39
Rate for Payer: Wellpoint Medicaid Managed Care	$42.21

CAP GAS

Facility

$1,592.80

Hospital Charge Code	270683461
Hospital Revenue Code	272
Min. Negotiated Rate	$238.92
Max. Negotiated Rate	$238.92
Rate for Payer: Qualcare PPO/HMO/WC	$238.92

CAP GREEN

Facility

$54.38

Hospital Charge Code	270662191
Hospital Revenue Code	272
Min. Negotiated Rate	$8.16
Max. Negotiated Rate	$8.16
Rate for Payer: Qualcare PPO/HMO/WC	$8.16

CAP GREEN

Facility

$54.38

Hospital Charge Code	270662191
Hospital Revenue Code	272
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$27.19
Rate for Payer: Aetna Commercial	$20.66
Rate for Payer: Aetna Medicare Advantage	$16.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.87
Rate for Payer: Cigna Commercial	$27.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.31
Rate for Payer: Oxford Commercial	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$8.16
Rate for Payer: UnitedHealthcare Commercial	$10.88
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

CAP GROSHONG CONN & INJ (DB***

Facility

$30.25

Hospital Charge Code	8002891
Hospital Revenue Code	279
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$15.12
Rate for Payer: Aetna Commercial	$11.49
Rate for Payer: Aetna Medicare Advantage	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.71
Rate for Payer: Cigna Commercial	$15.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.07
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.54
Rate for Payer: UnitedHealthcare Commercial	$6.05
Rate for Payer: UnitedHealthcare Community & State	$0.73
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

Know your out-of-pocket cost for care.

All Charges