Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

ADAPTOR ELBOW SWIVEL INS 1996

Facility

$7.05

Hospital Charge Code	270643693
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.06

ADAPTOR ELBOW SWIVEL INS 1996

Facility

$7.05

Hospital Charge Code	270643693
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.52
Rate for Payer: Aetna Commercial	$2.68
Rate for Payer: Aetna Medicare Advantage	$2.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.80
Rate for Payer: Cigna Commercial	$3.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.12
Rate for Payer: Oxford Commercial	$1.41
Rate for Payer: Qualcare PPO/HMO/WC	$1.06
Rate for Payer: UnitedHealthcare Commercial	$1.41
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

ADAPTOR INSPIRATORY FORCE

Facility

$5.05

Hospital Charge Code	270634218
Hospital Revenue Code	270
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.52
Rate for Payer: Aetna Commercial	$1.92
Rate for Payer: Aetna Medicare Advantage	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.29
Rate for Payer: Cigna Commercial	$2.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.51
Rate for Payer: Oxford Commercial	$1.01
Rate for Payer: Qualcare PPO/HMO/WC	$0.76
Rate for Payer: UnitedHealthcare Commercial	$1.01
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

ADAPTOR INSPIRATORY FORCE

Facility

$5.05

Hospital Charge Code	270634218
Hospital Revenue Code	270
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Qualcare PPO/HMO/WC	$0.76

ADAPTOR LG BRE MRSE Y 64000123

Facility

$99.25

Hospital Charge Code	270632532
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.77
Rate for Payer: Oxford Commercial	$19.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$19.85
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

ADAPTOR LG BRE MRSE Y 64000123

Facility

$99.25

Hospital Charge Code	270632532
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

ADAPTOR TAPER VERSA 25MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697700
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

ADAPTOR TAPER VERSA 25MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270697700
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

ADAPTOR TEE AEROGEN SOLO 15MM

Facility

$96.95

Hospital Charge Code	270690911
Hospital Revenue Code	272
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$48.48
Rate for Payer: Aetna Commercial	$36.84
Rate for Payer: Aetna Medicare Advantage	$29.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.72
Rate for Payer: Cigna Commercial	$48.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.09
Rate for Payer: Oxford Commercial	$19.39
Rate for Payer: Qualcare PPO/HMO/WC	$14.54
Rate for Payer: UnitedHealthcare Commercial	$19.39
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

ADAPTOR TEE AEROGEN SOLO 15MM

Facility

$96.95

Hospital Charge Code	270690911
Hospital Revenue Code	272
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$14.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.54

ADAPTOR TIBIAL TRAY OFFSET 5MM

Facility

$4,260.00

Service Code	HCPCS C1776
Hospital Charge Code	270665686
Hospital Revenue Code	278
Min. Negotiated Rate	$102.67
Max. Negotiated Rate	$2,130.00
Rate for Payer: Aetna Commercial	$1,618.80
Rate for Payer: Aetna Medicare Advantage	$1,278.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,086.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,086.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$852.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,086.30
Rate for Payer: Cigna Commercial	$2,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,030.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$937.20
Rate for Payer: Qualcare PPO/HMO/WC	$639.00
Rate for Payer: UnitedHealthcare Community & State	$102.67
Rate for Payer: Wellpoint Medicaid Managed Care	$112.89

ADAPTOR TIBIAL TRAY OFFSET 5MM

Facility

$4,260.00

Service Code	HCPCS C1776
Hospital Charge Code	270665686
Hospital Revenue Code	278
Min. Negotiated Rate	$639.00
Max. Negotiated Rate	$1,030.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$852.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,030.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$937.20
Rate for Payer: Qualcare PPO/HMO/WC	$639.00

ADAPTOR TRIMANO

Facility

$5,000.00

Hospital Charge Code	270676550
Hospital Revenue Code	272
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

ADAPTOR TRIMANO

Facility

$5,000.00

Hospital Charge Code	270676550
Hospital Revenue Code	272
Min. Negotiated Rate	$120.50
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,500.00
Rate for Payer: Oxford Commercial	$1,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Commercial	$1,000.00
Rate for Payer: UnitedHealthcare Community & State	$120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$132.50

ADAPTOR URETERAL CATHETER

Facility

$4.48

Hospital Charge Code	270619750
Hospital Revenue Code	270
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Qualcare PPO/HMO/WC	$0.67

ADAPTOR URETERAL CATHETER

Facility

$4.48

Hospital Charge Code	270619750
Hospital Revenue Code	270
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.24
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.14
Rate for Payer: Cigna Commercial	$2.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.34
Rate for Payer: Oxford Commercial	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.67
Rate for Payer: UnitedHealthcare Commercial	$0.90
Rate for Payer: UnitedHealthcare Community & State	$0.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.12

ADAPTOR VACUUM 422802

Facility

$225.00

Hospital Charge Code	270654324
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

ADAPTOR VACUUM 422802

Facility

$225.00

Hospital Charge Code	270654324
Hospital Revenue Code	272
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

ADAPTOR VERSO AIRWAY ACCESS

Facility

$37.69

Hospital Charge Code	270644433
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.65

ADAPTOR VERSO AIRWAY ACCESS

Facility

$37.69

Hospital Charge Code	270644433
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.84
Rate for Payer: Aetna Commercial	$14.32
Rate for Payer: Aetna Medicare Advantage	$11.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.61
Rate for Payer: Cigna Commercial	$18.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.31
Rate for Payer: Oxford Commercial	$7.54
Rate for Payer: Qualcare PPO/HMO/WC	$5.65
Rate for Payer: UnitedHealthcare Commercial	$7.54
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

ADAPT RING LOW PRESS 2-3/4 70M

Facility

$1.65

Hospital Charge Code	270650521
Hospital Revenue Code	272
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.83
Rate for Payer: Aetna Commercial	$0.63
Rate for Payer: Aetna Medicare Advantage	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.42
Rate for Payer: Cigna Commercial	$0.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.50
Rate for Payer: Oxford Commercial	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.25
Rate for Payer: UnitedHealthcare Commercial	$0.33
Rate for Payer: UnitedHealthcare Community & State	$0.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

ADAPT RING LOW PRESS 2-3/4 70M

Facility

$1.65

Hospital Charge Code	270650521
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.25

ADAPT RING LOW PRESS 4 100M

Facility

$1.65

Hospital Charge Code	270650284
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.25

ADAPT RING LOW PRESS 4 100M

Facility

$1.65

Hospital Charge Code	270650284
Hospital Revenue Code	272
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.83
Rate for Payer: Aetna Commercial	$0.63
Rate for Payer: Aetna Medicare Advantage	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.42
Rate for Payer: Cigna Commercial	$0.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.50
Rate for Payer: Oxford Commercial	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.25
Rate for Payer: UnitedHealthcare Commercial	$0.33
Rate for Payer: UnitedHealthcare Community & State	$0.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

Know your out-of-pocket cost for care.

All Charges