Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ADAPTER UROLOK MCV 730-140

Facility

$90.00

Hospital Charge Code	270601031
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

ADAPTER UROLOK MCV 730-140

Facility

$90.00

Hospital Charge Code	270601031
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

ADAPTER VACUTAINER 200-964

Facility

$4.00

Hospital Charge Code	270600741
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ADAPTER VACUTAINER 200-964

Facility

$4.00

Hospital Charge Code	270600741
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

ADAPTER VALVED TEE (AIRLIFE)

Facility

$7.31

Hospital Charge Code	270611534
Hospital Revenue Code	270
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.65
Rate for Payer: Aetna Commercial	$2.78
Rate for Payer: Aetna Medicare Advantage	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.86
Rate for Payer: Cigna Commercial	$3.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.10
Rate for Payer: UnitedHealthcare Commercial	$1.46
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

ADAPTER VALVED TEE (AIRLIFE)

Facility

$7.31

Hospital Charge Code	270611534
Hospital Revenue Code	270
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$1.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.10

ADAPTER VAPORIZER EASYFIL

Facility

$545.00

Hospital Charge Code	270681361
Hospital Revenue Code	272
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$81.75
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

ADAPTER VAPORIZER EASYFIL

Facility

$545.00

Hospital Charge Code	270681361
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$207.10
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.50
Rate for Payer: Oxford Commercial	$109.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Commercial	$109.00
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

ADAPTER VERSA-DIAL STD TAPER

Facility

$1,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270664886
Hospital Revenue Code	278
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

ADAPTER VERSA-DIAL STD TAPER

Facility

$1,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270664886
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

ADAPTER VERSO ADULT/PED 90 DE

Facility

$27.15

Hospital Charge Code	270689127
Hospital Revenue Code	272
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$4.07
Rate for Payer: Qualcare PPO/HMO/WC	$4.07

ADAPTER VERSO ADULT/PED 90 DE

Facility

$27.15

Hospital Charge Code	270689127
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.57
Rate for Payer: Aetna Commercial	$10.32
Rate for Payer: Aetna Medicare Advantage	$8.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.92
Rate for Payer: Cigna Commercial	$13.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.14
Rate for Payer: Oxford Commercial	$5.43
Rate for Payer: Qualcare PPO/HMO/WC	$4.07
Rate for Payer: UnitedHealthcare Commercial	$5.43
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

ADAPTER WIRE BOLT 1.5/2MM LONG

Facility

$1,762.90

Service Code	HCPCS A4649
Hospital Charge Code	270674291
Hospital Revenue Code	272
Min. Negotiated Rate	$264.44
Max. Negotiated Rate	$264.44
Rate for Payer: Qualcare PPO/HMO/WC	$264.44

ADAPTER WIRE BOLT 1.5/2MM LONG

Facility

$1,762.90

Service Code	HCPCS A4649
Hospital Charge Code	270674291
Hospital Revenue Code	272
Min. Negotiated Rate	$42.49
Max. Negotiated Rate	$881.45
Rate for Payer: Aetna Commercial	$669.90
Rate for Payer: Aetna Medicare Advantage	$528.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$449.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$449.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$449.54
Rate for Payer: Cigna Commercial	$881.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$528.87
Rate for Payer: Oxford Commercial	$352.58
Rate for Payer: Qualcare PPO/HMO/WC	$264.44
Rate for Payer: UnitedHealthcare Commercial	$352.58
Rate for Payer: UnitedHealthcare Community & State	$42.49
Rate for Payer: Wellpoint Medicaid Managed Care	$46.72

ADAPTER WITH OXYGEN PORT 9059

Facility

$2.80

Hospital Charge Code	270645948
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$0.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.42

ADAPTER WITH OXYGEN PORT 9059

Facility

$2.80

Hospital Charge Code	270645948
Hospital Revenue Code	272
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.40
Rate for Payer: Aetna Commercial	$1.06
Rate for Payer: Aetna Medicare Advantage	$0.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.71
Rate for Payer: Cigna Commercial	$1.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.84
Rate for Payer: Oxford Commercial	$0.56
Rate for Payer: Qualcare PPO/HMO/WC	$0.42
Rate for Payer: UnitedHealthcare Commercial	$0.56
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.07

ADAPTER Y GATEWAY

Facility

$113.48

Hospital Charge Code	270623274
Hospital Revenue Code	272
Min. Negotiated Rate	$17.02
Max. Negotiated Rate	$17.02
Rate for Payer: Qualcare PPO/HMO/WC	$17.02

ADAPTER Y GATEWAY

Facility

$113.48

Hospital Charge Code	270623274
Hospital Revenue Code	272
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$56.74
Rate for Payer: Aetna Commercial	$43.12
Rate for Payer: Aetna Medicare Advantage	$34.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.94
Rate for Payer: Cigna Commercial	$56.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.04
Rate for Payer: Oxford Commercial	$22.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.02
Rate for Payer: UnitedHealthcare Commercial	$22.70
Rate for Payer: UnitedHealthcare Community & State	$2.73
Rate for Payer: Wellpoint Medicaid Managed Care	$3.01

ADAPTER YPORT FEEDING 20F

Facility

$35.88

Hospital Charge Code	270619410
Hospital Revenue Code	270
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$5.38

ADAPTER YPORT FEEDING 20F

Facility

$35.88

Hospital Charge Code	270619410
Hospital Revenue Code	270
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$17.94
Rate for Payer: Aetna Commercial	$13.63
Rate for Payer: Aetna Medicare Advantage	$10.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.15
Rate for Payer: Cigna Commercial	$17.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.76
Rate for Payer: Oxford Commercial	$7.18
Rate for Payer: Qualcare PPO/HMO/WC	$5.38
Rate for Payer: UnitedHealthcare Commercial	$7.18
Rate for Payer: UnitedHealthcare Community & State	$0.86
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

ADAPTOR ADD-TO XMAS TREE

Facility

$2.40

Hospital Charge Code	270060005
Hospital Revenue Code	270
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.20
Rate for Payer: Aetna Commercial	$0.91
Rate for Payer: Aetna Medicare Advantage	$0.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.61
Rate for Payer: Cigna Commercial	$1.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.72
Rate for Payer: Oxford Commercial	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.36
Rate for Payer: UnitedHealthcare Commercial	$0.48
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

ADAPTOR ADD-TO XMAS TREE

Facility

$2.40

Hospital Charge Code	270060005
Hospital Revenue Code	270
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.36
Rate for Payer: Qualcare PPO/HMO/WC	$0.36

ADAPTOR BLADE SYSTEM 5MM HSA05

Facility

$148.00

Hospital Charge Code	270609761
Hospital Revenue Code	270
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$74.00
Rate for Payer: Aetna Commercial	$56.24
Rate for Payer: Aetna Medicare Advantage	$44.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.74
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.40
Rate for Payer: Oxford Commercial	$29.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$29.60
Rate for Payer: UnitedHealthcare Community & State	$3.57
Rate for Payer: Wellpoint Medicaid Managed Care	$3.92

ADAPTOR BLADE SYSTEM 5MM HSA05

Facility

$148.00

Hospital Charge Code	270609761
Hospital Revenue Code	270
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

ADAPTOR BMT FRILL 5.0 471851

Facility

$551.25

Hospital Charge Code	270621702
Hospital Revenue Code	270
Min. Negotiated Rate	$13.29
Max. Negotiated Rate	$275.62
Rate for Payer: Aetna Commercial	$209.47
Rate for Payer: Aetna Medicare Advantage	$165.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.57
Rate for Payer: Cigna Commercial	$275.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.38
Rate for Payer: Oxford Commercial	$110.25
Rate for Payer: Qualcare PPO/HMO/WC	$82.69
Rate for Payer: UnitedHealthcare Commercial	$110.25
Rate for Payer: UnitedHealthcare Community & State	$13.29
Rate for Payer: Wellpoint Medicaid Managed Care	$14.61

Know your out-of-pocket cost for care.

All Charges