Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CAUT AC-TEMP FINE TIP 8442000

Facility

$386.95

Hospital Charge Code	270635128
Hospital Revenue Code	272
Min. Negotiated Rate	$9.33
Max. Negotiated Rate	$193.47
Rate for Payer: Aetna Commercial	$147.04
Rate for Payer: Aetna Medicare Advantage	$116.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.67
Rate for Payer: Cigna Commercial	$193.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.08
Rate for Payer: Oxford Commercial	$77.39
Rate for Payer: Qualcare PPO/HMO/WC	$58.04
Rate for Payer: UnitedHealthcare Commercial	$77.39
Rate for Payer: UnitedHealthcare Community & State	$9.33
Rate for Payer: Wellpoint Medicaid Managed Care	$10.25

CAUTERY C-LINE ACUTEMP 8442000

Facility

$38.25

Hospital Charge Code	270600742
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$19.12
Rate for Payer: Aetna Commercial	$14.54
Rate for Payer: Aetna Medicare Advantage	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.75
Rate for Payer: Cigna Commercial	$19.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.47
Rate for Payer: Oxford Commercial	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.74
Rate for Payer: UnitedHealthcare Commercial	$7.65
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

CAUTERY C-LINE ACUTEMP 8442000

Facility

$38.25

Hospital Charge Code	270600742
Hospital Revenue Code	272
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$5.74

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$31.73
Rate for Payer: Aetna Commercial	$24.11
Rate for Payer: Aetna Medicare Advantage	$19.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.18
Rate for Payer: Cigna Commercial	$31.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.04
Rate for Payer: Oxford Commercial	$12.69
Rate for Payer: Qualcare PPO/HMO/WC	$9.52
Rate for Payer: UnitedHealthcare Commercial	$12.69
Rate for Payer: UnitedHealthcare Community & State	$1.53
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$31.73
Rate for Payer: Aetna Commercial	$24.11
Rate for Payer: Aetna Medicare Advantage	$19.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.18
Rate for Payer: Cigna Commercial	$31.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.04
Rate for Payer: Oxford Commercial	$12.69
Rate for Payer: Qualcare PPO/HMO/WC	$9.52
Rate for Payer: UnitedHealthcare Commercial	$12.69
Rate for Payer: UnitedHealthcare Community & State	$1.53
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.52

CAUTERY HIGH TEMP

Facility

$45.50

Hospital Charge Code	270649975N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$17.29
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$9.10
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Commercial	$9.10
Rate for Payer: UnitedHealthcare Community & State	$1.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

CAUTERY HIGH TEMP

Facility

$63.46

Hospital Charge Code	270649975S
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.52

CAUTERY HIGH TEMP

Facility

$45.50

Hospital Charge Code	270649975N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

CAUTERY HOOK 5mm LPSL5

Facility

$175.00

Hospital Charge Code	270628276
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

CAUTERY HOOK 5mm LPSL5

Facility

$175.00

Hospital Charge Code	270628276
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

CAUTERY HOT TEMP FINE TIP

Facility

$43.95

Hospital Charge Code	270651811
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$6.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.59

CAUTERY HOT TEMP FINE TIP

Facility

$43.95

Hospital Charge Code	270651811
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$21.98
Rate for Payer: Aetna Commercial	$16.70
Rate for Payer: Aetna Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.21
Rate for Payer: Cigna Commercial	$21.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: Oxford Commercial	$8.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.59
Rate for Payer: UnitedHealthcare Commercial	$8.79
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

CAUTERY OPHTHALMIC

Facility

$33.48

Hospital Charge Code	270649365
Hospital Revenue Code	272
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$16.74
Rate for Payer: Aetna Commercial	$12.72
Rate for Payer: Aetna Medicare Advantage	$10.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.54
Rate for Payer: Cigna Commercial	$16.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.04
Rate for Payer: Oxford Commercial	$6.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.02
Rate for Payer: UnitedHealthcare Commercial	$6.70
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

CAUTERY OPHTHALMIC

Facility

$33.48

Hospital Charge Code	270649365
Hospital Revenue Code	272
Min. Negotiated Rate	$5.02
Max. Negotiated Rate	$5.02
Rate for Payer: Qualcare PPO/HMO/WC	$5.02

CAUTERY OPHTH STER 84-41000

Facility

$49.65

Hospital Charge Code	270617094
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$24.82
Rate for Payer: Aetna Commercial	$18.87
Rate for Payer: Aetna Medicare Advantage	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.66
Rate for Payer: Cigna Commercial	$24.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.89
Rate for Payer: Oxford Commercial	$9.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.45
Rate for Payer: UnitedHealthcare Commercial	$9.93
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

CAUTERY OPHTH STER 84-41000

Facility

$49.65

Hospital Charge Code	270617094
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.45

CAUTERY OPHTH XOMED 0006821

Facility

$63.25

Hospital Charge Code	270060635
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$24.04
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$12.65
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$12.65
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

CAUTERY OPHTH XOMED 0006821

Facility

$63.25

Hospital Charge Code	270060635
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

CAUTERY PEDIATRIC PAD E7510-25

Facility

$44.85

Hospital Charge Code	270611088
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

CAUTERY PEDIATRIC PAD E7510-25

Facility

$44.85

Hospital Charge Code	270611088
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$22.43
Rate for Payer: Aetna Commercial	$17.04
Rate for Payer: Aetna Medicare Advantage	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.44
Rate for Payer: Cigna Commercial	$22.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.46
Rate for Payer: Oxford Commercial	$8.97
Rate for Payer: Qualcare PPO/HMO/WC	$6.73
Rate for Payer: UnitedHealthcare Commercial	$8.97
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

CAUTERY VALLEY LAB ******

Facility

$187.00

Hospital Charge Code	1800259
Hospital Revenue Code	272
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$93.50
Rate for Payer: Aetna Commercial	$71.06
Rate for Payer: Aetna Medicare Advantage	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.69
Rate for Payer: Cigna Commercial	$93.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.10
Rate for Payer: Oxford Commercial	$37.40
Rate for Payer: Qualcare PPO/HMO/WC	$28.05
Rate for Payer: UnitedHealthcare Commercial	$37.40
Rate for Payer: UnitedHealthcare Community & State	$4.51
Rate for Payer: Wellpoint Medicaid Managed Care	$4.96

CAUTERY VALLEY LAB ******

Facility

$187.00

Hospital Charge Code	1800259
Hospital Revenue Code	272
Min. Negotiated Rate	$28.05
Max. Negotiated Rate	$28.05
Rate for Payer: Qualcare PPO/HMO/WC	$28.05

CAVILON BARRIER CREAM 1.3% 1OZ

Facility

$12.86

Service Code	NDC 17518003003
Hospital Charge Code	606390442
Hospital Revenue Code	271
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.43
Rate for Payer: Aetna Commercial	$4.89
Rate for Payer: Aetna Medicare Advantage	$3.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.86
Rate for Payer: Oxford Commercial	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$2.57
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

CAVILON BARRIER CREAM 1.3% 1OZ

Facility

$12.86

Service Code	NDC 17518003003
Hospital Charge Code	606390442
Hospital Revenue Code	271
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

Know your out-of-pocket cost for care.

All Charges