Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ADAPTER INSPIRATORY FORCE

Facility

$4.15

Hospital Charge Code	270642029
Hospital Revenue Code	270
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.08
Rate for Payer: Aetna Commercial	$1.58
Rate for Payer: Aetna Medicare Advantage	$1.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.06
Rate for Payer: Cigna Commercial	$2.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.25
Rate for Payer: Oxford Commercial	$0.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.62
Rate for Payer: UnitedHealthcare Commercial	$0.83
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

ADAPTER INSPIRATORY FORCE

Facility

$4.15

Hospital Charge Code	270642029
Hospital Revenue Code	270
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.62

ADAPTER IRRIGATION DUAL

Facility

$65.58

Hospital Charge Code	270657565
Hospital Revenue Code	270
Min. Negotiated Rate	$9.84
Max. Negotiated Rate	$9.84
Rate for Payer: Qualcare PPO/HMO/WC	$9.84

ADAPTER IRRIGATION DUAL

Facility

$65.58

Hospital Charge Code	270650794
Hospital Revenue Code	270
Min. Negotiated Rate	$9.84
Max. Negotiated Rate	$9.84
Rate for Payer: Qualcare PPO/HMO/WC	$9.84

ADAPTER IRRIGATION DUAL

Facility

$65.58

Hospital Charge Code	270657565
Hospital Revenue Code	270
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.79
Rate for Payer: Aetna Commercial	$24.92
Rate for Payer: Aetna Medicare Advantage	$19.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.72
Rate for Payer: Cigna Commercial	$32.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.67
Rate for Payer: Oxford Commercial	$13.12
Rate for Payer: Qualcare PPO/HMO/WC	$9.84
Rate for Payer: UnitedHealthcare Commercial	$13.12
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

ADAPTER IRRIGATION DUAL

Facility

$65.58

Hospital Charge Code	270650794
Hospital Revenue Code	270
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.79
Rate for Payer: Aetna Commercial	$24.92
Rate for Payer: Aetna Medicare Advantage	$19.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.72
Rate for Payer: Cigna Commercial	$32.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.67
Rate for Payer: Oxford Commercial	$13.12
Rate for Payer: Qualcare PPO/HMO/WC	$9.84
Rate for Payer: UnitedHealthcare Commercial	$13.12
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

Adapter Latitude

Facility

$1,250.00

Hospital Charge Code	270683773N
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

Adapter Latitude

Facility

$1,250.00

Hospital Charge Code	270683773S
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

Adapter Latitude

Facility

$1,250.00

Hospital Charge Code	270683773S
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

Adapter Latitude

Facility

$1,250.00

Hospital Charge Code	270683773N
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

ADAPTER LATITUDE 3GU CELLULAR

Facility

$1,250.00

Hospital Charge Code	270683773
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

ADAPTER LATITUDE 3GU CELLULAR

Facility

$1,250.00

Hospital Charge Code	270683773
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$40.70
Rate for Payer: Aetna Commercial	$30.93
Rate for Payer: Aetna Medicare Advantage	$24.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.76
Rate for Payer: Cigna Commercial	$40.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.42
Rate for Payer: Oxford Commercial	$16.28
Rate for Payer: Qualcare PPO/HMO/WC	$12.21
Rate for Payer: UnitedHealthcare Commercial	$16.28
Rate for Payer: UnitedHealthcare Community & State	$1.96
Rate for Payer: Wellpoint Medicaid Managed Care	$2.16

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$40.70
Rate for Payer: Aetna Commercial	$30.93
Rate for Payer: Aetna Medicare Advantage	$24.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.76
Rate for Payer: Cigna Commercial	$40.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.42
Rate for Payer: Oxford Commercial	$16.28
Rate for Payer: Qualcare PPO/HMO/WC	$12.21
Rate for Payer: UnitedHealthcare Commercial	$16.28
Rate for Payer: UnitedHealthcare Community & State	$1.96
Rate for Payer: Wellpoint Medicaid Managed Care	$2.16

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131
Hospital Revenue Code	272
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$40.70
Rate for Payer: Aetna Commercial	$30.93
Rate for Payer: Aetna Medicare Advantage	$24.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.76
Rate for Payer: Cigna Commercial	$40.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.42
Rate for Payer: Oxford Commercial	$16.28
Rate for Payer: Qualcare PPO/HMO/WC	$12.21
Rate for Payer: UnitedHealthcare Commercial	$16.28
Rate for Payer: UnitedHealthcare Community & State	$1.96
Rate for Payer: Wellpoint Medicaid Managed Care	$2.16

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131N
Hospital Revenue Code	272
Min. Negotiated Rate	$12.21
Max. Negotiated Rate	$12.21
Rate for Payer: Qualcare PPO/HMO/WC	$12.21

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131
Hospital Revenue Code	272
Min. Negotiated Rate	$12.21
Max. Negotiated Rate	$12.21
Rate for Payer: Qualcare PPO/HMO/WC	$12.21

ADAPTER LUER ASPIRA 4992305

Facility

$81.40

Hospital Charge Code	270649131S
Hospital Revenue Code	272
Min. Negotiated Rate	$12.21
Max. Negotiated Rate	$12.21
Rate for Payer: Qualcare PPO/HMO/WC	$12.21

ADAPTER M2A MAGNM 42-50 139258

Facility

$1,875.00

Hospital Charge Code	270642278
Hospital Revenue Code	272
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$281.25
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

ADAPTER M2A MAGNM 42-50 139258

Facility

$1,875.00

Hospital Charge Code	270642278
Hospital Revenue Code	272
Min. Negotiated Rate	$45.19
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Commercial	$375.00
Rate for Payer: UnitedHealthcare Community & State	$45.19
Rate for Payer: Wellpoint Medicaid Managed Care	$49.69

ADAPTER MALE DBL LUER LOCK

Facility

$13.65

Hospital Charge Code	270600731
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$5.19
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.09
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$2.73
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

ADAPTER MALE DBL LUER LOCK

Facility

$13.65

Hospital Charge Code	270600731
Hospital Revenue Code	270
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

ADAPTER METASUL LDHHEAD S/-4MM

Facility

$690.55

Hospital Charge Code	270638744
Hospital Revenue Code	272
Min. Negotiated Rate	$103.58
Max. Negotiated Rate	$103.58
Rate for Payer: Qualcare PPO/HMO/WC	$103.58

ADAPTER METASUL LDHHEAD S/-4MM

Facility

$690.55

Hospital Charge Code	270638744
Hospital Revenue Code	272
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$345.27
Rate for Payer: Aetna Commercial	$262.41
Rate for Payer: Aetna Medicare Advantage	$207.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.09
Rate for Payer: Cigna Commercial	$345.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.16
Rate for Payer: Oxford Commercial	$138.11
Rate for Payer: Qualcare PPO/HMO/WC	$103.58
Rate for Payer: UnitedHealthcare Commercial	$138.11
Rate for Payer: UnitedHealthcare Community & State	$16.64
Rate for Payer: Wellpoint Medicaid Managed Care	$18.30

ADAPTER NEBULIZER 028

Facility

$15.59

Hospital Charge Code	270618109
Hospital Revenue Code	270
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$2.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.34

Know your out-of-pocket cost for care.

All Charges