Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ADAPTER NEBULIZER 028

Facility

$15.59

Hospital Charge Code	270618109
Hospital Revenue Code	270
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.79
Rate for Payer: Aetna Commercial	$5.92
Rate for Payer: Aetna Medicare Advantage	$4.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.98
Rate for Payer: Cigna Commercial	$7.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.68
Rate for Payer: Oxford Commercial	$3.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.34
Rate for Payer: UnitedHealthcare Commercial	$3.12
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

ADAPTER NEEDLE LUER B-3035-12

Facility

$9.65

Hospital Charge Code	270605167
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

ADAPTER NEEDLE LUER B-3035-12

Facility

$9.65

Hospital Charge Code	270605167
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

ADAPTER OHMEDA X 1/8 MNPT VAC

Facility

$72.50

Hospital Charge Code	270663361
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$36.25
Rate for Payer: Aetna Commercial	$27.55
Rate for Payer: Aetna Medicare Advantage	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.49
Rate for Payer: Cigna Commercial	$36.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.75
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.88
Rate for Payer: UnitedHealthcare Commercial	$14.50
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.92

ADAPTER OHMEDA X 1/8 MNPT VAC

Facility

$72.50

Hospital Charge Code	270663361
Hospital Revenue Code	272
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$10.88

ADAPTER OMNIFLEX

Facility

$162.15

Hospital Charge Code	270651377
Hospital Revenue Code	270
Min. Negotiated Rate	$24.32
Max. Negotiated Rate	$24.32
Rate for Payer: Qualcare PPO/HMO/WC	$24.32

ADAPTER OMNIFLEX

Facility

$162.15

Hospital Charge Code	270651377
Hospital Revenue Code	270
Min. Negotiated Rate	$3.91
Max. Negotiated Rate	$81.08
Rate for Payer: Aetna Commercial	$61.62
Rate for Payer: Aetna Medicare Advantage	$48.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.35
Rate for Payer: Cigna Commercial	$81.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.65
Rate for Payer: Oxford Commercial	$32.43
Rate for Payer: Qualcare PPO/HMO/WC	$24.32
Rate for Payer: UnitedHealthcare Commercial	$32.43
Rate for Payer: UnitedHealthcare Community & State	$3.91
Rate for Payer: Wellpoint Medicaid Managed Care	$4.30

ADAPTER OSTOMY SURFIT 1-3/4

Facility

$1.79

Hospital Charge Code	270650147
Hospital Revenue Code	270
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.90
Rate for Payer: Aetna Commercial	$0.68
Rate for Payer: Aetna Medicare Advantage	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.46
Rate for Payer: Cigna Commercial	$0.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.54
Rate for Payer: Oxford Commercial	$0.36
Rate for Payer: Qualcare PPO/HMO/WC	$0.27
Rate for Payer: UnitedHealthcare Commercial	$0.36
Rate for Payer: UnitedHealthcare Community & State	$0.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

ADAPTER OSTOMY SURFIT 1-3/4

Facility

$1.79

Hospital Charge Code	270650147
Hospital Revenue Code	270
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$0.27
Rate for Payer: Qualcare PPO/HMO/WC	$0.27

ADAPTER OSTOMY SURFIT 2-3/4

Facility

$1.99

Hospital Charge Code	270650150
Hospital Revenue Code	270
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

ADAPTER OSTOMY SURFIT 2-3/4

Facility

$1.99

Hospital Charge Code	270650150
Hospital Revenue Code	270
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.76
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.60
Rate for Payer: Oxford Commercial	$0.40
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$0.40
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

ADAPTER PULSE OXIMERTY ADULT**

Facility

$122.40

Hospital Charge Code	9500164
Hospital Revenue Code	279
Min. Negotiated Rate	$18.36
Max. Negotiated Rate	$18.36
Rate for Payer: Qualcare PPO/HMO/WC	$18.36

ADAPTER PULSE OXIMERTY ADULT**

Facility

$122.40

Hospital Charge Code	9500164
Hospital Revenue Code	279
Min. Negotiated Rate	$2.95
Max. Negotiated Rate	$61.20
Rate for Payer: Aetna Commercial	$46.51
Rate for Payer: Aetna Medicare Advantage	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.21
Rate for Payer: Cigna Commercial	$61.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.72
Rate for Payer: Oxford Commercial	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$18.36
Rate for Payer: UnitedHealthcare Commercial	$24.48
Rate for Payer: UnitedHealthcare Community & State	$2.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.24

ADAPTERS/ACCESSORIES

Facility

$2,000.00

Hospital Charge Code	270702508
Hospital Revenue Code	270
Min. Negotiated Rate	$48.20
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$48.20
Rate for Payer: Wellpoint Medicaid Managed Care	$53.00

ADAPTERS/ACCESSORIES

Facility

$1,500.00

Hospital Charge Code	270705796
Hospital Revenue Code	279
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

ADAPTERS/ACCESSORIES

Facility

$1,500.00

Hospital Charge Code	270705796
Hospital Revenue Code	279
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

ADAPTERS/ACCESSORIES

Facility

$2,000.00

Hospital Charge Code	270702508
Hospital Revenue Code	270
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

ADAPTERS AND ACCESSORIES

Facility

$1,500.00

Hospital Charge Code	270702510
Hospital Revenue Code	279
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

ADAPTERS AND ACCESSORIES

Facility

$1,500.00

Hospital Charge Code	270702510
Hospital Revenue Code	279
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

ADAPTER & SCREW CC 5 STEM EXT

Facility

$1,406.25

Service Code	HCPCS C1713
Hospital Charge Code	270668743
Hospital Revenue Code	278
Min. Negotiated Rate	$33.89
Max. Negotiated Rate	$703.12
Rate for Payer: Aetna Commercial	$534.38
Rate for Payer: Aetna Medicare Advantage	$421.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$281.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.59
Rate for Payer: Cigna Commercial	$703.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$309.38
Rate for Payer: Qualcare PPO/HMO/WC	$210.94
Rate for Payer: UnitedHealthcare Community & State	$33.89
Rate for Payer: Wellpoint Medicaid Managed Care	$37.27

ADAPTER & SCREW CC 5 STEM EXT

Facility

$1,406.25

Service Code	HCPCS C1713
Hospital Charge Code	270668743
Hospital Revenue Code	278
Min. Negotiated Rate	$210.94
Max. Negotiated Rate	$340.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$281.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$309.38
Rate for Payer: Qualcare PPO/HMO/WC	$210.94

ADAPTER SLEEVE FEMR HD +0MM

Facility

$3,000.00

Hospital Charge Code	270672502
Hospital Revenue Code	278
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$72.30
Rate for Payer: Wellpoint Medicaid Managed Care	$79.50

ADAPTER SLEEVE FEMR HD +0MM

Facility

$3,000.00

Hospital Charge Code	270672502
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

ADAPTER SLEEVE FEMR HD +3.5MM

Facility

$3,000.00

Hospital Charge Code	270672503
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

ADAPTER SLEEVE FEMR HD +3.5MM

Facility

$3,000.00

Hospital Charge Code	270672503
Hospital Revenue Code	278
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$72.30
Rate for Payer: Wellpoint Medicaid Managed Care	$79.50

Know your out-of-pocket cost for care.

All Charges